Individual provider Active NPI

Jena Williams Hamm, CRNP

  • Family Nurse Practitioner
  • Russellville, AL
National Provider Identifier
1073866489
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-069726 Issued in AL
Practice address
13150 Highway 43
Ste 10
Russellville, AL 35653-4558
Phone
(256) 331-2092
Fax
(256) 331-2096
NPI assigned
Oct 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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 1-069726 AL Primary

Addresses

Primary practice location

13150 Highway 43
Ste 10
Russellville, AL 35653-4558

Mailing address

13150 Highway 43
Ste 10
Russellville, AL 35653-4558
Phone (256) 331-2092

Other names 1

  • Jena Marie Williams Former name

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
I20141205001396 AL Practitioner - Nurse Practitioner 5799007597 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Mississippi Medical College, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Russellville Hospital Inc.Group PAC ID 3476878489, 66 clinicians

Practice addresses (Care Compare)

15225 Hwy 43
Suite I
Russellville, AL 35653-1969
Phone (256) 331-2700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-069726ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Russellville Hospital Inc Current Accepting new patients
Russellville Hospital Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

15225 Highway 43
Ste I
Russellville, AL 35653
Phone (256) 331-2700

13150 Highway 43
Ste 10
Russellville, AL 35653
Phone (256) 331-2092

Organizations & group practices 3

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.

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": "1350950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1073866489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13150 HIGHWAY 43",
            "address_2": "STE 10",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356534558",
            "telephone_number": "256-331-2092",
            "fax_number": "256-331-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13150 HIGHWAY 43",
            "address_2": "STE 10",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356534558",
            "telephone_number": "256-331-2092",
            "fax_number": "256-331-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "JENA",
        "middle_name": "WILLIAMS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-23",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-069726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "WILLIAMS",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Russellville, AL

Sources for this page

Verify at the official NPI Registry.