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MISTY AUTUMN MCGILLEM DNP
NPI 1467847822
Nurse Practitioner - Psychiatric/Mental Health in Tucson, AZ

Active since April 02, 2015PECOS Enrolled
3939 S PARK AVE, TUCSON, AZ 85714(520) 333-4320 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Misty Autumn Mcgillem Dnp NPPES

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

MISTY AUTUMN MCGILLEM DNP (NPI 1467847822) is an individual psychiatric/mental health provider in Tucson, Arizona, licensed in Arizona (AP9889) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1467847822
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISTY AUTUMN MCGILLEMCredential: DNP
Location Address3939 S PARK AVETucson, AZ 85714-1635
Mailing Address4575 E Broadway BlvdTucson, AZ 85711-3509 · (520) 325-4268 · Fax (520) 318-6935
Phone(520) 333-4320
Sole ProprietorNo
Enumeration DateApril 2, 2015
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1467847822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · AP9889
Also ListedRegistered NurseTaxonomy 163W00000X · License RN 175929 (AZ)
3939 S PARK AVE, Tucson, AZ 85714
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15055 E Broadway Blvd Ste A200Tucson, AZ 85711-3649 · Phone (520) 901-4800 · Fax (520) 901-4700
Location 2504 W 29th StTucson, AZ 85713-3353 · Phone (520) 296-3296

Other Identifiers 1

Medicaid235041AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty Autumn Mcgillem Dnp 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 85714 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 11

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

MARIA E JOHNSTON FNP
Nurse Practitioner (Family)
3939 S PARK AVE, #150
TUCSON, AZ 85714
Pima County (520) 746-5001
CAMELIA GEMBALA FNP-C
Nurse Practitioner (Family)
3939 S PARK AVE, SUITE 150
TUCSON, AZ 85714
Pima County (520) 745-5001
DR. CHRISTOPHER L WINTZER M.D.
Family Medicine
3939 S PARK AVE, #150
TUCSON, AZ 85714
Pima County (520) 746-5001
KRISTINE L. MORAN M.D.
Family Medicine
3939 S PARK AVE, SUITE 150
TUCSON, AZ 85714
Pima County (520) 746-5001
DR. CHRISTINE WELLS PHD
Psychologist (Clinical)
3939 S PARK AVE, SUITE 150
TUCSON, AZ 85714
Pima County (520) 333-4320
DIANA R COMADURAN FNP
Nurse Practitioner (Family)
3939 S PARK AVE, #150
TUCSON, AZ 85714
Pima County (520) 746-5001
TONILYN SKATER MC
Counselor (Addiction (Substance Use Disorder))
3939 S PARK AVE
TUCSON, AZ 85714
Pima County (520) 333-4320
DR. SILVIA ROUZAUD M.D.
Family Medicine
3939 S PARK AVE, #150
TUCSON, AZ 85714
Pima County (520) 746-5001

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 Mcgillem's NPI number?

The NPI number for Misty Mcgillem is 1467847822. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Misty Mcgillem located?

Misty Mcgillem practices at 3939 S Park Ave, Tucson, AZ 85714. The listed phone number is (520) 333-4320.

What is Misty Mcgillem's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Misty Mcgillem enrolled in Medicare?

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

What insurance does Misty Mcgillem accept?

Health plans from Oscar Health Plan, Inc. list Misty Mcgillem 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.

When was this NPI record last updated?

The NPPES record for Misty Mcgillem was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.