MISTY PHOMMATHETH DNP, CNM, WHNP-BC
NPI 1083326375
Advanced Practice Midwife in Oroville, CA

Q: What is Misty Phommatheth's NPI number?

The NPI number for Misty Phommatheth is 1083326375. It was assigned to this individual provider in the NPPES registry on December 19, 2022.

Q: What is Misty Phommatheth's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Phommatheth was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since December 19, 2022PECOS EnrolledAccepts Medicare Assignment

2767 OLIVE HWY, OROVILLE, CA 95966(530) 533-8500 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2025, Sep 25, 2024, Aug 14, 2023 and 1 more (4 updates tracked since 2022).

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About Misty Phommatheth Dnp, Cnm, Whnp-bc NPPES

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

MISTY PHOMMATHETH DNP, CNM, WHNP-BC (NPI 1083326375) is an individual advanced practice midwife in Oroville, California, licensed in California (236351) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083326375

Entity TypeIndividualFemale

Primary Taxonomy367A00000X

Provider Legal NameMISTY PHOMMATHETHCredential: DNP, CNM, WHNP-BC

Location Address2767 OLIVE HWYOroville, CA 95966-6118

Mailing Address8816 Waterview RdMachesney Park, IL 61115-2035

Phone(530) 533-8500

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 19, 2022

Last NPPES UpdateJune 27, 20254 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1083326375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367A00000X

License✔ Licensed in CA · 236351

Definition

Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.

2767 OLIVE HWY, Oroville, CA 95966

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty Phommatheth Dnp, Cnm, Whnp-bc 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 ID2163877275

PECOS Enrollment IDI20231010002037

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95966 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

Most-billed visit code 99213

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 20

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

DR. DOMINIQUE G ENGEL M.D.

Specialist

2767 OLIVE HWY, SUITE 16
OROVILLE, CA 95966

Butte County (530) 533-3196

OROVILLE HOSPITAL

Hospice Care, Community Based