MISTY LEIGH HALTOM (FNP-C) – Family Nurse Practitioner, NPI 1508483397
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for MISTY LEIGH HALTOM (FNP-C)
PO BOX 751
KIRBYVILLE, TX 759560751
Phone: (409) 423-0650
Type: Mailing
206 COUNTY ROAD 594
KIRBYVILLE, TX 759563131
Phone: (409) 423-0650
Type: Location
837 CYPRESS CREEK PKWY # 77090
HOUSTON, TX 770903423
Phone: (281) 586-3888
Fax: (346) 299-6542
Type: Mailing
837 CYPRESS CREEK PKWY
HOUSTON, TX 770903423
Phone: (281) 586-3888
Fax: (281) 586-3888
Type: Location
1905 N Margaret Ave
Kirbyville, TX 759561652
Phone: (409) 420-0816
Fax: (409) 420-0821
Type: Location
1273 S Peachtree St
Jasper, TX 759514915
Phone: (409) 384-9200
Fax: (409) 384-9205
Type: Location
315 W HOUSTON ST
JASPER, TX 759514002
Phone: (409) 384-3430
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $177.
Total Amount is formed as General ($177) + Research ($0) + Ownership ($0) = $177.
Last reported payment date: 2024-09-05 • Largest payer in this snapshot: Dexcom, Inc. ($60).
Total Amount
$177
General + Research + Ownership
Payments
10
Total payment records
General Amount
$177
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-05
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dexcom, Inc. | $60 |
| ABBVIE INC. | $55 |
| Mylan Specialty L.P. | $19 |
| Teva Pharmaceuticals USA, Inc. | $16 |
| Exact Sciences Corporation | $14 |
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: 2021-05-05
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210505000286 | I | Nurse Practitioner | TX | TBD |
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.
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 75956)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX | |
| Internal Medicine, Nephrology | TX | |
| Family Practice, Geriatric Medicine | TX | |
| Internal Medicine, Cardiovascular Disease (Cardiology), Geriatric Medicine | TX | |
| Pain Management | TX | |
| Physical Therapist In Private Practice | TX | |
| - | TX | |
| Gastroenterology, Internal Medicine | TX | |
| P O D I A T R Y | TX |
Reviews
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