MISTY D STONE APN FNP
NPI 1831873033
Nurse Practitioner in Fairfield, IL

Q: What is Misty Stone's NPI number?

The NPI number for Misty Stone is 1831873033. It was assigned to this individual provider in the NPPES registry on June 9, 2023.

Q: What is Misty Stone's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Misty Stone was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 09, 2023PECOS EnrolledAccepts Medicare Assignment

303 NW 11TH ST, FAIRFIELD, IL 62837(618) 842-4617 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Misty D Stone Apn Fnp NPPES

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

MISTY D STONE APN FNP (NPI 1831873033) is an individual nurse practitioner in Fairfield, Illinois, licensed in Illinois (209027594) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Fairfield Memorial Hospital 1, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1831873033

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMISTY D STONECredential: APN FNP

Location Address303 NW 11TH STFairfield, IL 62837-1206

Mailing Address303 Nw 11th StFairfield, IL 62837-1206 · (618) 842-4617

Phone(618) 842-4617

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 9, 2023

NPPES CertifiedJune 9, 2023

✔ NPI 1831873033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209027594

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

303 NW 11TH ST, Fairfield, IL 62837

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Misty D Stone Apn Fnp 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 ID8224496344

PECOS Enrollment IDI20230622001274

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 Stone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfield Memorial Hospital Association

Same address

Critical Access

303 NW 11TH ST
Fairfield, IL 62837

Reassigned Medicare billing, Illinois enrollment
41 clinicians in this Medicare group

NPI 1255422416 (618) 847-8260

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 5

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 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.

339 services245 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

45 services33 patients

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.

35 services33 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

30 services28 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Fairfield Memorial Hospital 1

Critical Access Hospitals · Fairfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number141311

Location303 N W 11th StreetFairfield, IL 62837 · Wayne County

Emergency services

Clay County Hospital

Critical Access Hospitals · Flora, IL

OwnershipGovernment - Local

CMS Certification Number141351

Location911 Stacy Burk DrFlora, IL 62839 · Clay County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62837 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

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