Misty Phommatheth, DNP, CNM, WHNP-BC - Medicare Certified Nurse Midwife (cnm) in Oroville, CA

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Misty Phommatheth, DNP, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Oroville, California. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 2767 Olive Hwy, Oroville, California. You can reach out to her office (for appointments etc.) via phone at (530) 533-8500.

Misty Phommatheth is licensed to practice in California (license number 236351) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083326375.

Contact Information

Misty Phommatheth, DNP, CNM, WHNP-BC
2767 Olive Hwy,
Oroville, CA 95966-6118
(530) 533-8500
Not Available

Map and Direction




Provider's Profile

Full NameMisty Phommatheth
GenderFemale
SpecialityCertified Nurse Midwife (cnm)
Experience4 Years
Location2767 Olive Hwy, Oroville, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Misty Phommatheth graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1083326375
  • Provider Enumeration Date: 12/19/2022
  • Last Update Date: 06/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2163877275
  • Enrollment ID: I20231010002037

Medical Identifiers

Medical identifiers for Misty Phommatheth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083326375NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 236351 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group600272917511250

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 Phommatheth allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameOrohealth Corporation a Non Profit Healthcare System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013933167
PECOS PAC ID: 4082501192
Enrollment ID: O20040325001703

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 Phommatheth 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 AddressPractice Location Address
Misty Phommatheth, DNP, CNM, WHNP-BC
8816 Waterview Rd,
Machesney Park, IL 61115-2035

Ph: Not Available		Misty Phommatheth, DNP, CNM, WHNP-BC
2767 Olive Hwy,
Oroville, CA 95966-6118

Ph: (530) 533-8500

Reviews and Comments


Advanced Practice Midwife Nurses in Oroville, CA

Kerry Elizabeth Eldridge, CNM, NP
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2767 Olive Hwy, Oroville, CA 95966
Phone: 530-532-8181    
Roxanne Lundin-crittenden, RN, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 2809 Olive Hwy Ste 320, Oroville, CA 95966
Phone: 530-532-8440    
Aimee D'avignon, DNP, CNM
Advanced Practice Midwife
Medicare: Medicare Enrolled
Practice Location: 2767 Olive Hwy, Oroville, CA 95966
Phone: 530-533-8500    
Alicia Maria Mana,
Advanced Practice Midwife
Medicare: May Accept Medicare Assignments
Practice Location: 2809 Olive Hwy Ste 310, Oroville, CA 95966
Phone: 530-538-5688    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.