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MRS. AUDREA H MISSILDINE CRNP
NPI 1083929376
Nurse Practitioner - Family in Jack, AL

Active since August 11, 2010PECOS Enrolled
1031 COUNTY ROAD 114, JACK, AL 36346(334) 853-0177(334) 853-0178 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Audrea H Missildine Crnp NPPES

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

MRS. AUDREA H MISSILDINE CRNP (NPI 1083929376) is an individual family provider in Jack, Alabama, licensed in Alabama (1-065276) and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083929376
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. AUDREA H MISSILDINECredential: CRNP
Location Address1031 COUNTY ROAD 114Jack, AL 36346-6264
Mailing Address1031 County Road 114Jack, AL 36346-6264 · (334) 853-0177 · Fax (334) 853-0178
Phone(334) 853-0177
Fax(334) 853-0178
Sole ProprietorNo
Enumeration DateAugust 11, 2010
Last NPPES UpdateJuly 12, 2019
✔ NPI 1083929376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 1-065276
1031 COUNTY ROAD 114, Jack, AL 36346
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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 (PECOS)

Mrs. Audrea H Missildine Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 36346 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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

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

MARATHON HEALTH LLC
Nurse Practitioner
1031 COUNTY ROAD 114
JACK, AL 36346
Coffee County (334) 853-0177

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 Audrea Missildine's NPI number?

The NPI number for Audrea Missildine is 1083929376. It was assigned to this individual provider in the NPPES registry on August 11, 2010.

Where is Audrea Missildine located?

Audrea Missildine practices at 1031 County Road 114, Jack, AL 36346. The listed phone number is (334) 853-0177.

What is Audrea Missildine's specialty?

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

Is Audrea Missildine enrolled in Medicare?

Yes. Audrea Missildine is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Audrea Missildine was last updated on July 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.