MISTY M PARKER (A.C.N.P.-B.C.) – Acute Care Nurse Practitioner, NPI 1396744710

MISTY M PARKER (A.C.N.P.-B.C.) is a healthcare provider. based in Dyersburg, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials A.C.N.P.-B.C.. They hold a License No. APN11037 (TN). The NPI Number for MISTY M PARKER (A.C.N.P.-B.C.) is 1396744710

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MISTY M PARKER (A.C.N.P.-B.C.)
NPI
1396744710
Phone
(731) 287-0804
Address
1385 FLOWERING DOGWOOD LN
Enumeration Date
18 July 2005
Last Update Date
12 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7318858881
Graduation Year
2004 (22 years ago)
PAC ID
5799735239
Professional Enrollment ID
I20050124000303
Address ID
TN382615718UN1324XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

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Provider Addresses for MISTY M PARKER (A.C.N.P.-B.C.)

  • 1385, Flowering Dogwood Lane, Dyersburg, Dyer County, Tennessee, 38024, United States

    SUITE C

    DYERSBURG, TN 380246409

    Phone: (731) 287-0804

    Fax: (731) 285-3600

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-01-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050124000303INurse PractitionerTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes47382$0
97597Removal of tissue from wound, 20.0 sq cm or less33449$0
99214Established patient office or other outpatient visit, 30-39 minutes18374$0
11042Removal of skin and tissue, 20.0 sq cm or less5736$0
99204New patient office or other outpatient visit, 45-59 minutes5757$0
View full utilization report →

Insurance plans in this area (ZIP 38024)

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Provider's Procedures

MISTY M PARKER (A.C.N.P.-B.C.) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTN11042Removal of skin and tissue first 20 sq cm or less55981

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Frequently asked questions

How is MISTY M PARKER (A.C.N.P.-B.C.) identified in CMS data?
CMS-hosted NPPES data lists MISTY M PARKER (A.C.N.P.-B.C.) with NPI 1396744710.
Does the file indicate MISTY M PARKER (A.C.N.P.-B.C.) is practicing under active NPI?
Directory data currently reports MISTY M PARKER (A.C.N.P.-B.C.) as active.
What is MISTY M PARKER (A.C.N.P.-B.C.) best known for clinically?
Directory data describes MISTY M PARKER (A.C.N.P.-B.C.) with Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for MISTY M PARKER (A.C.N.P.-B.C.)?
MISTY M PARKER (A.C.N.P.-B.C.)'s geographic hint is Dyersburg, Tennessee in our summary view.
Is the information about MISTY M PARKER (A.C.N.P.-B.C.) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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