MISTY RAE PHILLIPS (FNP) – Family Nurse Practitioner, NPI 1124678156

MISTY RAE PHILLIPS (FNP) is a healthcare provider. based in Lufkin, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 897445 (TX). The NPI Number for MISTY RAE PHILLIPS (FNP) is 1124678156

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
MISTY RAE PHILLIPS (FNP)
NPI
1124678156
Phone
(936) 315-5011
Address
282 SADIE FREEMAN DR
Enumeration Date
11 September 2019
Last Update Date
16 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8302587747
Graduation Year
2019 (7 years ago)
PAC ID
6406280270
Group Practice PAC ID
7618237264
Professional Enrollment ID
I20200103000070
Address ID
TX780285950KE260XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:6State licenses:2Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MISTY RAE PHILLIPS (FNP)

  • 282 SADIE FREEMAN DR

    LUFKIN, TX 759013569

    Phone: (936) 315-5011

    Type: Location

  • 406 VIKING COVE RD

    HUNTINGTON, TX 759493474

    Phone: (936) 422-3506

    Type: Location

  • Masjid Noor, 1032, Park Avenue, Little Plains, Huntington, Suffolk County, New York, 11743, United States

    HUNTINGTON, TX 759491032

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 119 Open Payments records for all available years, with a total value of $2,263.

Total Amount is formed as General ($2,263) + Research ($0) + Ownership ($0) = $2,263.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($395).

Total Amount

$2,263

General + Research + Ownership

Payments

119

Total payment records

General Amount

$2,263

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-01-03

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
I20200103000070INurse PractitionerTXTBD

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
17003Destruction of precancer skin growth, 2-14 growths13925$0
99213Established patient office or other outpatient visit, 20-29 minutes3838$0
17000Destruction of precancer skin growth, 1 growth3130$0
17110Destruction of skin growth, 1-14 growths2221$0
11102Biopsy of related skin growth, first growth2222$0
View full utilization report →

Insurance plans in this area (ZIP 75901)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618237264View full group profile
NameSpecialtyState
Family PracticeTX
Hospitalist, Internal MedicineTX
Family Practice, HospitalistPA
Nurse PractitionerTX
Internal MedicineTX
Family PracticeNM
Internal Medicine, Hospitalist, Internal MedicineTX
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerLA

Reviews

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Frequently asked questions

Does MISTY RAE PHILLIPS (FNP) have a public NPI I can cite?
Public records show MISTY RAE PHILLIPS (FNP) under NPI 1124678156.
Quick check: is MISTY RAE PHILLIPS (FNP) active?
Public NPPES data shows MISTY RAE PHILLIPS (FNP) with an active NPI status right now.
What does the directory say MISTY RAE PHILLIPS (FNP) does?
Insurance directories may phrase it differently, but here MISTY RAE PHILLIPS (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MISTY RAE PHILLIPS (FNP) tied to Lufkin, Texas?
If you are local to Lufkin, Texas, MISTY RAE PHILLIPS (FNP) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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