Active NPI
Katie Elise Sewell, CRNP
- Nurse Practitioner
- Fort Payne, AL
National Provider Identifier
1013413764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-143791
- Practice address
- 212 Airport Road W
Fort Payne, AL 35968 - Phone
- (256) 979-1250
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Albertville, AL
- NPI 1639503055
Family Medicine
-
- Pain Medicine (Anesthesiology) Physician
- Fort Payne, AL
- NPI 1598539140
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Renew Family Dermatology LLC
Practice addresses (Care Compare)
212 Airport Rd W
Fort Payne, AL 35968-3335
Phone (256) 979-1250
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.93 of 100
- Quality
- 70.92
- Promoting interoperability
- 84
- Improvement activities
- 40
- Cost
- 98.86
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200217000564 | AL | Practitioner - Nurse Practitioner | 4880021682 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renew Family Dermatology LLC | Current | Accepting new patients | |
| Go Medical Corporation PC | Family Medicine | Current | Accepting new patients |
| Relief Spine and Pain Center LLC | Past | Accepting new patients | |
| Anniston Careplus, LLC | Family Medicine | Past | Accepting new patients |
| Careplus Family Medical, LLC | Family Medicine | Past | Accepting new patients |
| Go Medical Corporation PC | Family Medicine | Past | Accepting new patients |
Locations
1403 Old Water Works Rd SW
Fort Payne, AL 35968
Phone (256) 646-7246
212 Airport Rd W
Fort Payne, AL 35968
Phone (256) 979-1250
Interoperability endpoints
- ksewell@renewfamilyderm.emadirect.md
- https://fhir4.healow.com/fhir/r4/BCGEDD
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1-143791 | AL | |
| Nurse Practitioner | 363L00000X | 1-143791 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
212 Airport Road W
Fort Payne, AL 35968
Mailing address
212 Airport Rd W
Fort Payne, AL 35968-3335
Phone (256) 979-1250
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 5, 2026.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1013413764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 AIRPORT RD W",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "359683335",
"telephone_number": "256-979-1250",
"fax_number": "256-979-1251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 AIRPORT ROAD W",
"city": "FORT PAYNE",
"state": "AL",
"postal_code": "35968",
"telephone_number": "256-979-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEWELL",
"first_name": "KATIE",
"middle_name": "ELISE",
"name_prefix": "Mrs.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AL",
"license": "1-143791",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-143791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Payne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.