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MISTY TATUM NP
NPI 1992407878
Nurse Practitioner - Neonatal, Critical Care in Jonesboro, AR

Active since March 21, 2023PECOS Enrolled
225 E WASHINGTON AVE, JONESBORO, AR 72401(870) 207-4100(870) 207-6581 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2026, Mar 21, 2023 (2 updates tracked since 2023).

About Misty Tatum Np NPPES

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

MISTY TATUM NP (NPI 1992407878) is an individual neonatal, critical care provider in Jonesboro, Arkansas, licensed in Arkansas (235107) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Memphis, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1992407878
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameMISTY TATUMCredential: NP
Location Address225 E WASHINGTON AVEJonesboro, AR 72401-3111
Mailing Address6613 W Grove DrBartlett, TN 38135-5142 · (719) 963-7049
Phone(870) 207-4100
Fax(870) 207-6581
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 21, 2023
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1992407878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
Licenses✔ Licensed in AR · 235107✔ Licensed in TN · 163029
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704431862 (MI)
225 E WASHINGTON AVE, Jonesboro, AR 72401
Open in Google Maps ↗

Other Names 1

Former Name (1)Misty Higginbotham

Secondary Practice Location 1

Location 1853 Jefferson Avenue, Rout 2nd FloorMemphis, TN 38103-2804 · Phone (901) 866-8810

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., Oscar Insurance Company, Priority Health.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 Tatum Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618466624
PECOS Enrollment IDI20251030000570, I20260429002888
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 72401 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

MRS. MEGAN RENEE HARRELL CRNA
Nurse Anesthetist, Certified Registered
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-4100
HIBA ZARA AHMED M.D., M.P.H.
Radiology (Radiation Oncology)
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-8210
DR. GRANT ALEXANDER CAGLE MD MPH
Internal Medicine (Pulmonary Disease)
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-4100
HANNAH CARRIE TADLOCK
Nurse Anesthetist, Certified Registered
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-7300
UTIBE JOHN NDEBBIO MBBCH
Internal Medicine
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-4100
MR. JOHN S JOHNSON M.D.
Internal Medicine
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-1539
DUC MINH VO DO
Hospitalist
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-4100
FAITH KIMBERLIN SMITH BEVILL PA-C
Physician Assistant
225 E WASHINGTON AVE
JONESBORO, AR 72401
Craighead County (870) 207-4100

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 Tatum's NPI number?

The NPI number for Misty Tatum is 1992407878. It was assigned to this individual provider in the NPPES registry on March 21, 2023. The provider is also known as Misty Higginbotham.

Where is Misty Tatum located?

Misty Tatum practices at 225 E Washington Ave, Jonesboro, AR 72401. The listed phone number is (870) 207-4100.

What is Misty Tatum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Misty Tatum enrolled in Medicare?

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

What insurance does Misty Tatum accept?

Health plans from Oscar Health Plan, Inc., Oscar Insurance Company and Priority Health list Misty Tatum 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 Tatum was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.