Individual provider Active NPI

Katie Elise Sewell, CRNP

  • Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1013413764
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-143791 Issued in AL
Practice address
212 Airport Road W
Fort Payne, AL 35968
Phone
(256) 979-1250
NPI assigned
Apr 2, 2018
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-143791 AL
Nurse Practitioner 363L00000X 1-143791 AL Primary

Addresses

Primary 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

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200217000564 AL Practitioner - Nurse Practitioner 4880021682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Renew Family Dermatology LLCGroup PAC ID 2466789839, 6 clinicians

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 100Reported as group
Quality
70.92
Promoting interoperability
84
Improvement activities
40
Cost
98.86

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Go Medical Corporation PC Family Medicine CurrentSince Aug 1, 2020 Accepting new patients
Renew Family Dermatology LLC CurrentSince Jan 1, 2024 Accepting new patients
Anniston Careplus, LLC Family Medicine Past Accepting new patients
Relief Spine and Pain Center LLC PastSince Dec 1, 2023 Accepting new patients
Careplus Family Medical, LLC Family Medicine PastSince May 1, 2014 Accepting new patients
Go Medical Corporation PC Family Medicine PastSince Aug 18, 2024 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/BCGEDD
  • Direct secure messaging: ksewell@renewfamilyderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "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

Verify at the official NPI Registry.