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MISTY M PARKER A.C.N.P.-B.C.
NPI 1396744710
Nurse Practitioner - Acute Care in Dyersburg, TN

Active since July 18, 2005PECOS Enrolled
1385 FLOWERING DOGWOOD LN, SUITE C, DYERSBURG, TN 38024(731) 287-0804(731) 285-3600 Get Directions Write a Review

NPPES record last updated: May 12, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Misty M Parker A.c.n.p.-b.c. NPPES

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

MISTY M PARKER A.C.N.P.-B.C. (NPI 1396744710) is an individual acute care provider in Dyersburg, Tennessee, licensed in Tennessee (APN11037) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396744710
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMISTY M PARKERCredential: A.C.N.P.-B.C.
Location Address1385 FLOWERING DOGWOOD LN, SUITE CDyersburg, TN 38024-6409
Mailing Address1385 Flowering Dogwood Ln, Suite CDyersburg, TN 38024-6409 · (731) 287-0804 · Fax (731) 285-3600
Phone(731) 287-0804
Fax(731) 285-3600
Sole ProprietorNo
Enumeration DateJuly 18, 2005
Last NPPES UpdateMay 12, 2014
✔ NPI 1396744710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TN · APN11037
1385 FLOWERING DOGWOOD LN, Dyersburg, TN 38024
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Other Identifiers 2

Medicaid1515855TN
Medicare PIN36480701TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty M Parker A.c.n.p.-b.c. 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.

Medicare Billing Reassignment

Medicare enrollment records show Misty Parker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mccoy Medical
Same address
Nurse Practitioner
1385 FLOWERING DOGWOOD LN, SUITE C
Dyersburg, TN 38024
  • Reassigned Medicare billing, Tennessee enrollment
NPI 1225263080 (731) 287-0804

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.
352 services66 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.
323 services60 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
300 services49 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
37 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38024 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers79 claims7,320 services$0.10 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier14 claims1,200 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers107 claims5,044 services$7.05 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers26 claims1,230 services$0.93 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
1 supplier49 claims2,007 services$2.07 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
1 supplier17 claims59 services$15.76 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DOGWOOD CLINIC INC
Nurse Practitioner
1385 FLOWERING DOGWOOD LN, SUITE D
DYERSBURG, TN 38024
Dyer County (731) 286-6209
MCCOY MEDICAL
Nurse Practitioner
1385 FLOWERING DOGWOOD LN, SUITE C
DYERSBURG, TN 38024
Dyer County (731) 287-0804

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 Parker's NPI number?

The NPI number for Misty Parker is 1396744710. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Misty Parker located?

Misty Parker practices at 1385 Flowering Dogwood Ln Suite C, Dyersburg, TN 38024. The listed phone number is (731) 287-0804.

What is Misty Parker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Misty Parker enrolled in Medicare?

Yes. Misty Parker is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Misty Parker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Parker reassigns Medicare benefits to Mccoy Medical (Dyersburg, TN). The 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 Parker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Misty Parker was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.