Individual ProviderMisty WittenNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1600 W 38th St, Suite 300, Austin, TX 78731-6400(512) 261-4800PECOS EnrollmentBased on the most recent information from CMS, provider Misty Witten is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:13 AM.Profile DetailsProvider ID1427449305Provider TypeIndividualFull NameWitten, MistyCredentialFNP-CGenderFemaleSole ProprietorYesEnumeration Date2/12/2015Last Updated4/4/2015Contact InformationPractice LocationPractice Address1600 W 38th St, Suite 300, Austin, TX 78731-6400Phone(512) 261-4800FaxUnlisted FaxMailing LocationMailing Address1600 W 38th St, Suite 300, Austin, TX 78731-6400Phone(512) 261-4800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP126050Texas