MISTY NALL (MS CCC-SLP) – Speech-Language Pathologist, NPI 1710279575

MISTY NALL (MS CCC-SLP) is a healthcare provider. based in Orange, Texas. specializing in Speech-Language Pathologist. They hold the professional credentials MS CCC-SLP. They hold a License No. 104557 (TX). The NPI Number for MISTY NALL (MS CCC-SLP) is 1710279575

Main info

Female
Sole Proprietor
Name
MISTY NALL (MS CCC-SLP)
NPI
1710279575
Phone
(409) 673-8291
Address
2109 CLARK LN
Enumeration Date
11 May 2011
Last Update Date
15 September 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for MISTY NALL (MS CCC-SLP)

  • 2109 CLARK LN

    ORANGE, TX 776321442

    Phone: (409) 673-8291

    Type: Mailing

  • 3000 CARDINAL ST

    ORANGE, TX 776304737

    Phone: (409) 673-8291

    Type: Location

  • 5445 LEXINGTON CIR

    LUMBERTON, TX 776575964

    Phone: (409) 673-8291

    Type: Location

  • 3000 Cardinal St

    Orange, TX 776304737

    Phone: (409) 673-8291

    Type: Location

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: 2023-01-13

PECOS data refreshed: 2026-06-15

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
I20230113001387IQualified Speech Language PathologistTXTBD

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

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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 77632)

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Reviews

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Frequently asked questions

Does MISTY NALL (MS CCC-SLP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — MISTY NALL (MS CCC-SLP) uses 1710279575.
Does CMS list MISTY NALL (MS CCC-SLP) as active?
Yes — MISTY NALL (MS CCC-SLP) is active in the NPI listing used on this page.
What is MISTY NALL (MS CCC-SLP)'s primary classification?
Speech-Language Pathologist is the headline specialty for MISTY NALL (MS CCC-SLP) here. Clinical services aligned with this taxonomy classification.
What area does MISTY NALL (MS CCC-SLP) serve?
MISTY NALL (MS CCC-SLP)'s listing highlights Orange, Texas; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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