MISTY DAWN SUTTON FNP-C
NPI 1770924094
Nurse Practitioner - Family in Amarillo, TX

Active since July 15, 2013PECOS EnrolledAccepts Medicare Assignment
90.44/100
CMS Quality Rating
4905 LEXINGTON SQ, AMARILLO, TX 79119(806) 353-6700(806) 353-6707 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Misty Dawn Sutton Fnp-c NPPES

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

MISTY DAWN SUTTON FNP-C (NPI 1770924094) is an individual family provider in Amarillo, Texas, licensed in Texas (729675) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Bsa Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1770924094
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISTY DAWN SUTTONCredential: FNP-C
Location Address4905 LEXINGTON SQAmarillo, TX 79119-6574
Mailing Address5 Summit DrCanyon, TX 79015 · (806) 681-3720
Fax(806) 353-6707
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 15, 2013
Last NPPES UpdateMarch 18, 2015
NPI 1770924094 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 TX · 729675
4905 LEXINGTON SQ, Amarillo, TX 79119

Other Identifiers 2

Other317148YUNJTX · Medicare Upin For Access Md, Inc.
Other317148YVHVTX · Medicare Upin For Access Md Healthcare Group, Pllc

Accepted Insurance

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 Sutton Fnp-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 ID6800021502
PECOS Enrollment IDI20131106000264
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.

Areas of Expertise CMS Part B claims 3

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
133 services82 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
86 services58 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

Bsa Hospital

Acute Care Hospitals · Amarillo, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450231
Location1600 Wallace BlvdAmarillo, TX 79106 · Potter County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79119 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

90.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.47
Improvement Activities40
Cost68.84

Referred Medical Equipment & Supplies CMS DME claims 3

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers17 claims17 services$15.52 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$6.09 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers17 claims17 services$81.68 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 5

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

Dentist (Oral and Maxillofacial Surgery)
4905 LEXINGTON SQ
AMARILLO, TX 79119
Dentist (Oral and Maxillofacial Surgery)
4905 LEXINGTON SQ
AMARILLO, TX 79119
Family Medicine
4905 LEXINGTON SQ
AMARILLO, TX 79119
Family Medicine
4905 LEXINGTON SQ
AMARILLO, TX 79119
Family Medicine
4905 LEXINGTON SQ
AMARILLO, TX 79119

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 Sutton's NPI number?

The NPI number for Misty Sutton is 1770924094. It was assigned to this individual provider in the NPPES registry on July 15, 2013.

Where is Misty Sutton located?

Misty Sutton practices at 4905 Lexington Sq, Amarillo, TX 79119. The listed phone number is (806) 353-6700.

What is Misty Sutton's specialty?

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

Is Misty Sutton enrolled in Medicare?

Yes. Misty Sutton 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.

What insurance does Misty Sutton accept?

Health plans from Blue Cross and Blue Shield of Texas list Misty Sutton 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.

Is Misty Sutton affiliated with any hospitals?

According to CMS data, Misty Sutton is affiliated with Bsa Hospital.

When was this NPI record last updated?

The NPPES record for Misty Sutton was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.