MISTY DAWN MCMULLEN NP-C
NPI 1609538537
Nurse Practitioner - Family in North Versailles, PA

Q: What is Misty Mcmullen's NPI number?

The NPI number for Misty Mcmullen is 1609538537. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Q: What is Misty Mcmullen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Misty Mcmullen was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 07, 2021PECOS EnrolledAccepts Medicare Assignment

82.57/100

CMS Quality Rating

1916 LINCOLN HWY, NORTH VERSAILLES, PA 15137(412) 824-5820 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 18, 2024, Dec 3, 2021, Oct 7, 2021 (3 updates tracked since 2021).

On this page

About Misty Dawn Mcmullen Np-c NPPES

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

MISTY DAWN MCMULLEN NP-C (NPI 1609538537) is an individual family provider in North Versailles, Pennsylvania, licensed in Pennsylvania (SP022936) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Forbes Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1609538537

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISTY DAWN MCMULLENCredential: NP-C

Location Address1916 LINCOLN HWYNorth Versailles, PA 15137-2706

Mailing Address1916 Lincoln HwyNorth Versailles, PA 15137-2706 · (412) 824-5820

Phone(412) 824-5820

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 7, 2021

Last NPPES UpdateDecember 18, 20243 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1609538537 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 PA · SP022936

1916 LINCOLN HWY, North Versailles, PA 15137

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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 Dawn Mcmullen Np-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 ID7911390752

PECOS Enrollment IDI20220131001598

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.

Hospital Affiliations CMS Care Compare

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

Forbes Hospital

Acute Care Hospitals · Monroeville, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390267

Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15137 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

72.87

Improvement Activities

Cost

91.65

Other Providers at the Same Location NPPES 4

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

TAYLOR WILSON PA-C

Physician Assistant

1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137

Allegheny County (412) 824-5820

DR. MONICA PATHAK DUA MD

Internal Medicine

1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137

Allegheny County (412) 824-5820

PREMIER MEDICAL ASSOCIATES, P.C.

Non-Pharmacy Dispensing Site

1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137

Allegheny County (412) 824-5820

JESSICA FENTON MD

Preventive Medicine (Public Health & General Preventive Medicine)

1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137

Allegheny County (412) 824-5820

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 Mcmullen's NPI number?

The NPI number for Misty Mcmullen is 1609538537. It was assigned to this individual provider in the NPPES registry on October 7, 2021.

Where is Misty Mcmullen located?

Misty Mcmullen practices at 1916 Lincoln Hwy, North Versailles, PA 15137. The listed phone number is (412) 824-5820.

What is Misty Mcmullen's specialty?

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

Is Misty Mcmullen enrolled in Medicare?

Yes. Misty Mcmullen 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.

Is Misty Mcmullen affiliated with any hospitals?

According to CMS data, Misty Mcmullen is affiliated with Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Misty Mcmullen was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.