NPIMap

Individual provider Active NPI

Ashley N Ozbirn, CRNP

  • Family Nurse Practitioner
  • Hamilton, AL
National Provider Identifier
1093054595
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-121751 Issued in AL
Practice address
400 Bexar Ave W
Hamilton, AL 35570-5522
Phone
(205) 921-2838
Fax
(205) 430-2672
NPI assigned
Feb 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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 1-121751 AL Primary

Addresses

Primary practice location

400 Bexar Ave W
Hamilton, AL 35570-5522

Mailing address

PO Box 522
Hamilton, AL 35570-0522
Phone (205) 921-2838

Other practice location 1

13150 Highway 43 Ste 10
Russellville, AL 35653-4566
Phone (256) 331-2092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131014001390 AL Practitioner - Nurse Practitioner 9436383072 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Divine Family Wellness, LLCGroup PAC ID 0244657658, 6 clinicians

Practice addresses (Care Compare)

530 Bexar Ave W
Hamilton, AL 35570-5723
Phone (205) 921-2838

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Divine Family Wellness, LLC Family CurrentSince May 2, 2020 Accepting new patients
Watson Family Clinic Family PastSince Jul 22, 2025 Accepting new patients

Locations

400 Bexar Ave W
Hamilton, AL 35570
Phone (205) 921-2838

530 Bexar Ave W
Hamilton, AL 35570
Phone (205) 269-1483

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 6

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": "1360022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1093054595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355700522",
            "telephone_number": "205-921-2838",
            "fax_number": "205-430-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BEXAR AVE W",
            "city": "HAMILTON",
            "state": "AL",
            "postal_code": "355705522",
            "telephone_number": "205-921-2838",
            "fax_number": "205-430-2672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13150 Highway 43 Ste 10",
            "address_purpose": "LOCATION",
            "city": "Russellville",
            "state": "AL",
            "postal_code": "356534566",
            "country_code": "US",
            "telephone_number": "256-331-2092",
            "fax_number": "256-331-2096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OZBIRN",
        "first_name": "ASHLEY",
        "middle_name": "N",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-05",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-121751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, AL

Sources for this page

Verify at the official NPI Registry.