MISTI CROWSEY, Base. QMHP,CC — NPI 1619504677 (Licensed & Credentialed Community Health Worker in MABANK, TX)

CMS-1500 Box 24J / 33a • NPI

1619504677

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

172V00000X

Licensed & Credentialed Community Health Worker

Box 32 Service Location & ZIP+4

7551 COUNTY ROAD 2829, MABANK, TX, 75156-7187

✓ 9-Digit EDI 837 ZIP+4 (75156-7187)

Practice Phone & Referral Fax

(903) 288-2150

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1619504677 (MISTI CROWSEY, Base. QMHP,CC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1619504677` (NPI-1 Individual Practitioner)
Provider / Legal Name	MISTI CROWSEY, Base. QMHP,CC
Plain-English Specialty	Licensed & Credentialed Community Health Worker NUCC Code: `172V00000X` (Community Health Worker)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	7551 COUNTY ROAD 2829, MABANK, TX, 75156-7187
Practice Telephone / Fax	Tel: (903) 288-2150
Administrative Mailing Address	8915 HARRY HINES BLVD, DALLAS, TX, 75235-1717
Enumeration & Last Sync	Enumerated: 2020-03-26 \| CMS Record Updated: 2020-03-26

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7551 COUNTY ROAD 2829, MABANK, TX, 75156-7187

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Plain-English Taxonomy & CMS Crosswalk (172V00000X)

What Does Taxonomy Code 172V00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 172V00000X translates to:
"Licensed & Credentialed Community Health Worker"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community Health Worker for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MISTI CROWSEY, Base. QMHP,CC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`172V00000X` — Community Health Worker Plain English: Licensed & Credentialed Community Health Worker	State: TX \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MISTI CROWSEY, Base. QMHP,CC (NPI #1619504677)