Individual provider Active NPI

Nikeya Shayree Betts, CRNP

  • Family Nurse Practitioner
  • Bay Minette, AL
National Provider Identifier
1013661180
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1121230 Issued in AL
Practice address
1815 Hand Ave
Bay Minette, AL 36507-4110
Phone
(251) 937-5521
NPI assigned
Feb 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1121230 AL Primary

Addresses

Primary practice location

1815 Hand Ave
Bay Minette, AL 36507-4110

Mailing address

332 Belleville St
Repton, AL 36475-3014
Phone (251) 230-1635

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
I20220418000319 AL Practitioner - Nurse Practitioner 9739575929 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Hospital and Clinic, IncGroup PAC ID 0547254153, 119 clinicians
Baldwin Emergency Physicians, P.C..Group PAC ID 4688627946, 52 clinicians

Practice addresses (Care Compare)

1725 Pine St
Montgomery, AL 36106-1109
Phone (334) 284-1500

750 Morphy Ave
Fairhope, AL 36532-1812
Phone (251) 928-2375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1121230ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Health & Wellness, LLC CurrentSince Jan 25, 2025 Accepting new patients
Jackson Hospital and Clinic, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Imc-Emergency Physicians LLC CurrentSince Apr 1, 2022 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Dec 1, 2022 Accepting new patients
Baldwin Emergency Physicians, P.C.. Emergency Medical Services CurrentSince Oct 1, 2024 Accepting new patients
Jackson Hospital & Clinic, Inc. Past Accepting new patients

Locations

1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553

750 Morphy Ave
Fairhope, AL 36532
Phone (251) 928-2375

1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366

16 Medical Center Dr
Monroeville, AL 36460
Phone (251) 575-3266

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

Interoperability endpoints

  • Direct secure messaging: nrichardson111711@directinfirmaryhealth.org
  • Direct secure messaging: nikeya.richardson.1@31894.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1644278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1013661180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BELLEVILLE ST",
            "city": "REPTON",
            "state": "AL",
            "postal_code": "364753014",
            "telephone_number": "251-230-1635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 HAND AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365074110",
            "telephone_number": "251-937-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTS",
        "first_name": "NIKEYA",
        "middle_name": "SHAYREE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-08",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1121230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.