MRS. MISTY D. HOUSTON FNP-C
NPI 1033725585
Nurse Practitioner - Family in Morganton, NC

Active since September 21, 2020PECOS EnrolledAccepts Medicare Assignment
304 S GREEN ST, MORGANTON, NC 28655(828) 438-1125(828) 438-1119 Get Directions Write a Review

NPPES record last updated: September 21, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Misty D. Houston Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MISTY D. HOUSTON FNP-C (NPI 1033725585) is an individual family provider in Morganton, North Carolina, licensed in North Carolina (5013559) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, is affiliated with Blue Ridge Healthcare Hospitals, Inc, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1033725585
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MISTY D. HOUSTONCredential: FNP-C
Location Address304 S GREEN STMorganton, NC 28655-3578
Mailing Address304 S Green StMorganton, NC 28655-3578 · (828) 438-1125 · Fax (828) 438-1119
Fax(828) 438-1119
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 21, 2020
NPPES CertifiedSeptember 21, 2020
✔ NPI 1033725585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5013559
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5013559 (NC)
304 S GREEN ST, Morganton, NC 28655

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Misty D. Houston Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4880014406
PECOS Enrollment IDI20201021001053
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Misty Houston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
221 13TH AVENUE PL NW
Hickory, NC 28601
  • Reassigned Medicare billing, North Carolina enrollment
  • 4 clinicians in this Medicare group
Family Medicine
609 RICHLANDS HWY STE 6
Jacksonville, NC 28540
  • Reassigned Medicare billing, North Carolina enrollment
  • 55 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
113 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
94 services47 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
34 services14 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
28 services16 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blue Ridge Healthcare Hospitals, Inc

Acute Care Hospitals · Morganton, NC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number340075
Location2201 S Sterling StMorganton, NC 28655 · Burke County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28655 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
304 S GREEN ST
MORGANTON, NC 28655
Nurse Practitioner (Family)
304 S GREEN ST
MORGANTON, NC 28655
Family Medicine
304 S GREEN ST
MORGANTON, NC 28655
Family Medicine
304 S GREEN ST
MORGANTON, NC 28655
Nurse Practitioner (Family)
304 S GREEN ST
MORGANTON, NC 28655
Nurse Practitioner (Family)
304 S GREEN ST
MORGANTON, NC 28655

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Misty Houston's NPI number?

The NPI number for Misty Houston is 1033725585. It was assigned to this individual provider in the NPPES registry on September 21, 2020.

Where is Misty Houston located?

Misty Houston practices at 304 S Green St, Morganton, NC 28655. The listed phone number is (828) 438-1125.

What is Misty Houston's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Misty Houston enrolled in Medicare?

Yes. Misty Houston is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Misty Houston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Houston reassigns Medicare benefits to 2 organizations: Hart Family Practice PA (Hickory, NC) and Med First Immediate Care & Family Practice, PA (Jacksonville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Misty Houston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Houston accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 2 other insurers list Misty Houston as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Misty Houston affiliated with any hospitals?

According to CMS data, Misty Houston is affiliated with Blue Ridge Healthcare Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Misty Houston was last updated on September 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.