Jessica Marie Semyonova, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-108002 Issued in AL

Practice address

1010 Christine Ave
Anniston, AL 36207-5782

Phone

(256) 236-5631

Fax

(256) 241-2241

NPI assigned

Jun 30, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Anniston Medical Clinic, PCGroup PAC ID 0244125854, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Anniston Medical Clinic PC

  • Internal Medicine Physician
  • Anniston, AL
  • NPI 1619080017

  AL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1053098103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2127",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362022127",
            "telephone_number": "256-236-5631",
            "fax_number": "256-241-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 CHRISTINE AVE",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362075782",
            "telephone_number": "256-236-5631",
            "fax_number": "256-241-2241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMYONOVA",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-108002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Screws, M.S. CCC- SLP
• Shawn Seeger, ATC
• Aasim S. Sehbai, M.D.
• Lewis E Sellers III, M.D.
• Kevin A Sells, M.D.
• Serendipity Counseling
• Michael Sesay, MD
• Makenzie Kramer Shadrick, CRNP
• Haroon Anwar Shaikh, M.D.
• Thomas D. Sharp, DMD

• All providers in Anniston, AL
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.

Verify at the official NPI Registry.