MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) – Nurse Practitioner, NPI 1689665374

MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) is a healthcare provider. based in Rockwall, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 606499 (TX). The NPI Number for MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) is 1689665374

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MISTY GAYLENE HORNSBY-ODOM (FNP)
NPI
1689665374
Phone
(972) 771-8316
Address
2306 RIDGE RD
Enumeration Date
2 November 2005
Last Update Date
1 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9724840040
Graduation Year
2004 (22 years ago)
PAC ID
8325023112
Group Practice PAC ID
4981600970
Professional Enrollment ID
I20040624000412
Address ID
TX752301605DA5440XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

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Provider Addresses for MRS. MISTY GAYLENE HORNSBY-ODOM (FNP)

  • 2306, Ridge Road, Glen Hill, Rockwall, Rockwall County, Texas, 75087, United States

    ROCKWALL, TX 750875140

    Phone: (972) 771-8316

    Fax: (972) 722-9214

    Type: Mailing

  • 110 THOROUGHBRED

    FATE, TX 750876863

    Phone: (469) 323-0332

    Type: Mailing

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: 2004-06-24

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
I20040624000412INurse 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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes985142$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes11564$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3728$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 75087)

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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: 4981600970View full group profile
NameSpecialtyState
-TX
-TX
Nurse PractitionerTX
Internal Medicine, Geriatric MedicineTX
Nurse PractitionerTN
Nurse PractitionerMD
Nurse PractitionerTX
Pulmonary Disease, Internal MedicineTX

Reviews

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Frequently asked questions

Where can patients find MRS. MISTY GAYLENE HORNSBY-ODOM (FNP)'s NPI?
You can confirm MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) with NPI 1689665374; it appears in the national provider directory.
Does this profile mean MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) is currently active?
Yes — MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) appears active in the national provider directory.
Can you summarize MRS. MISTY GAYLENE HORNSBY-ODOM (FNP)'s specialty in plain language?
Clinically, the directory lists MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) with Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MRS. MISTY GAYLENE HORNSBY-ODOM (FNP)?
We surface Rockwall, Texas for MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) based on available NPPES addresses.
Is MRS. MISTY GAYLENE HORNSBY-ODOM (FNP) a real provider?
This page reflects official NPPES data for NPI 1689665374. Always confirm identity and privileges with the practice and licensing boards.

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