MISTY DANIELLE WHITE (NP-C) – Family Nurse Practitioner, NPI 1336817428

MISTY DANIELLE WHITE (NP-C) is a healthcare provider. based in Bryan, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. 1003074 (TX). The NPI Number for MISTY DANIELLE WHITE (NP-C) is 1336817428

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MISTY DANIELLE WHITE (NP-C)
NPI
1336817428
Phone
(979) 595-1700
Address
3370 S TEXAS AVE STE B
Enumeration Date
2 September 2021
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9794516000
Graduation Year
2019 (7 years ago)
PAC ID
5496115099
Group Practice PAC ID
0042507600
Professional Enrollment ID
I20240416004247
Address ID
TX778339617BR2608XSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for MISTY DANIELLE WHITE (NP-C)

  • 3370 S TEXAS AVE STE B

    BRYAN, TX 778023127

    Phone: (979) 595-1700

    Fax: (979) 731-4570

    Type: Mailing

  • 4795 TIMBERLINE DR

    COLLEGE STATION, TX 778457505

    Phone: (979) 571-5411

    Type: Mailing

  • 1103 WOODSON DR

    CALDWELL, TX 778361052

    Phone: (979) 571-5411

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $815.

Total Amount is formed as General ($815) + Research ($0) + Ownership ($0) = $815.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: Gilead Sciences, Inc. ($400).

Total Amount

$815

General + Research + Ownership

Payments

21

Total payment records

General Amount

$815

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

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: 2024-04-16

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
I20240416004247INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77802)

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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: 0042507600View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerAZ
Physician AssistantUT
Nurse PractitionerTX
Emergency MedicineTX
Physician AssistantAR
Nurse PractitionerTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is MISTY DANIELLE WHITE (NP-C) listed with a National Provider Identifier?
Yes — MISTY DANIELLE WHITE (NP-C) has NPI 1336817428 on file in the registry.
Would MISTY DANIELLE WHITE (NP-C) appear as active to a payer?
You can treat MISTY DANIELLE WHITE (NP-C) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MISTY DANIELLE WHITE (NP-C)?
MISTY DANIELLE WHITE (NP-C)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MISTY DANIELLE WHITE (NP-C)?
Travel planning: use Bryan, Texas as the reference point for MISTY DANIELLE WHITE (NP-C), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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