Misty Shearer, FNP-C is a medicare enrolled "Nurse Practitioner" physician in Mesa, Arizona. Her current practice location is
8950 E Germann Rd Ste 15, Mesa, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 477-4467.
Misty Shearer is licensed to practice in Arizona (license number 289235) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083313761.
Physician's Profile
| Full Name | Misty Shearer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 8950 E Germann Rd Ste 15, Mesa, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083313761
- Provider Enumeration Date: 03/01/2023
- Last Update Date: 02/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 0648639047
- Enrollment ID: I20230703001522
Medical Identifiers
Medical identifiers for Misty Shearer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083313761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 289235 (Arizona) | Secondary |
| 363L00000X | Nurse Practitioner | 289235 (Arizona) | Primary |
| 163WE0003X | Registered Nurse - Emergency | RN151875 (Arizona) | Secondary |
| 202D00000X | Integrative Medicine | 289235 (Arizona) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Misty Shearer allows following entities to bill medicare on her behalf.
| Entity Name | Kmtrask Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518413962
PECOS PAC ID: 8921386483
Enrollment ID: O20171212002971 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Misty Shearer is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Misty Shearer, FNP-C
18451 E Aubrey Glen Rd,
Queen Creek, AZ 85142-3626
Ph: (480) 332-9729 | Misty Shearer, FNP-C
8950 E Germann Rd Ste 15,
Mesa, AZ 85212-5301
Ph: (480) 477-4467 |
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