Individual provider Active NPI

Jessica C Babcock, CRNP

  • Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1013808971
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-119264 Issued in AL
Practice address
185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone
(334) 387-0948
Fax
(334) 387-0955
NPI assigned
Jul 10, 2025
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-119264 AL Primary

Addresses

Primary practice location

185 Mitylene Park LN
Montgomery, AL 36117-7302

Mailing address

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-0648

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
I20250731003323 AL Practitioner - Nurse Practitioner 3577071687 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Region Cardiology Associates, PCGroup PAC ID 3476568494, 3 clinicians

Practice addresses (Care Compare)

185 Mitylene Park LN
Montgomery, AL 36117-7302
Phone (334) 387-9900

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Cardiology Associates, PC CurrentSince Jun 16, 2025 Accepting new patients

Locations

185 Mitylene Park Ln
Montgomery, AL 36117
Phone (334) 387-0948

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1752105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1013808971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0648",
            "fax_number": "334-387-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MITYLENE PARK LN",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177302",
            "telephone_number": "334-387-0948",
            "fax_number": "334-387-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABCOCK",
        "first_name": "JESSICA",
        "middle_name": "C",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-10",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-119264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.