1. Home
  2. Directory
  3. Ohio
  4. Englewood
  5. Nurse Practitioner
  6. NPI Profile

MISTY D MCDOWELL FNP, PMHNP
NPI 1790834265
Nurse Practitioner - Psychiatric/Mental Health in Englewood, OH

Active since January 10, 2007PECOS Enrolled
5050 PEBBLE BROOK DR, ENGLEWOOD, OH 45322(844) 843-7279(720) 513-5762 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Misty D Mcdowell Fnp, Pmhnp NPPES

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

MISTY D MCDOWELL FNP, PMHNP (NPI 1790834265) is an individual psychiatric/mental health provider in Englewood, Ohio, licensed in Ohio (NP07385) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790834265
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMISTY D MCDOWELLCredential: FNP, PMHNP
Location Address5050 PEBBLE BROOK DREnglewood, OH 45322-3636
Mailing Address5050 Pebble Brook DrEnglewood, OH 45322-3636 · (937) 657-3383 · Fax (937) 915-0463
Phone(844) 843-7279
Fax(720) 513-5762
Sole ProprietorYes
Enumeration DateJanuary 10, 2007
Last NPPES UpdateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1790834265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OH · NP07385
Also ListedRegistered NurseTaxonomy 163W00000X · License RN-214610 (OH)
Also ListedNurse PractitionerTaxonomy 363L00000X · License NP07385 (OH)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License NP07385 (OH)
5050 PEBBLE BROOK DR, Englewood, OH 45322
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15050 Pebble Brook DrEnglewood, OH 45322-3636 · Phone (614) 665-5443 · Fax (954) 480-1784
Location 2332 Linwood StDayton, OH 45405-4918 · Phone (937) 529-4946 · Fax (937) 529-0055

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Misty D Mcdowell Fnp, Pmhnp 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 Reassignments

6

Medicare enrollment records show Misty Mcdowell reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Access Ohio, LLC
11 mi
Substance Abuse Rehabilitation Facility
2611 WAYNE AVE BLDG 64
Dayton, OH 45420
  • Reassigned Medicare billing, Ohio enrollment
  • 64 clinicians in this Medicare group
NPI 1194179150 (614) 256-7811
Healthmates LLC
13 mi
Psychiatric/Mental Health
580 LINCOLN PARK BLVD STE 344
Kettering, OH 45429
  • Reassigned Medicare billing, Ohio enrollment
  • 4 clinicians in this Medicare group
NPI 1225902455 (937) 401-0144
Access Counseling Services LLC
23 mi
Community/Behavioral Health
4464 S DIXIE HWY
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 32 clinicians in this Medicare group
NPI 1073884524 (513) 649-8008
Encounter Wellness Mental Health Services, LLC
35 mi
Psychiatric/Mental Health
4932 WUNNENBERG WAY # B
West Chester, OH 45069
  • Reassigned Medicare billing, Ohio enrollment
  • 3 clinicians in this Medicare group
NPI 1851060990 (513) 682-3200
Access Behavioral LLC
79 mi
Medical Specialty
99 N BRICE RD, STE 220
Columbus, OH 43213
  • Reassigned Medicare billing, Ohio enrollment
  • 41 clinicians in this Medicare group
NPI 1437463213 (614) 322-9760
Coleman Professional Services, Inc.
168 mi
Community/Behavioral Health
400 TUSCARAWAS ST W, SUITE 200
Canton, OH 44702
  • Reassigned Medicare billing, Ohio enrollment
  • 187 clinicians in this Medicare group
NPI 1134296213 (330) 438-2400

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 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.

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.
132 services37 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
124 services33 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45322 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Mcdowell's NPI number?

The NPI number for Misty Mcdowell is 1790834265. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Misty Mcdowell located?

Misty Mcdowell practices at 5050 Pebble Brook Dr, Englewood, OH 45322. The listed phone number is (844) 843-7279.

What is Misty Mcdowell's specialty?

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

Is Misty Mcdowell enrolled in Medicare?

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

Which organizations bill Medicare for Misty Mcdowell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Misty Mcdowell reassigns Medicare benefits to 6 organizations: Access Ohio, LLC (Dayton, OH), Healthmates LLC (Kettering, OH), Access Counseling Services LLC (Middletown, OH), Encounter Wellness Mental Health Services, LLC (West Chester, OH), Access Behavioral LLC (Columbus, OH) and 1 more organization, listed in the Medicare section above. Each 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 Mcdowell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Misty Mcdowell accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 5 other insurers list Misty Mcdowell 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 Mcdowell was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.