Individual provider Active NPI

Janna Kay Culpepper, CRNP

  • Family Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1093866337
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1037602 Issued in AL
Practice address
1359 Old Water Works Rd SW
Fort Payne, AL 35968-3347
Phone
(256) 997-5900
Fax
(888) 977-1691
NPI assigned
Jan 15, 2007
Last updated
Mar 27, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 1037602 AL Primary

Addresses

Primary practice location

1359 Old Water Works Rd SW
Fort Payne, AL 35968-3347

Mailing address

1359 Old Water Works Rd SW
Fort Payne, AL 35968-3347
Phone (256) 997-5900

Other identifiers 6

IdentifierTypeStateIssuer
051503895OtherALBLUE CROSS BLUE SHIELD
051503891OtherALBLUE CROSS BLUE SHIELD
051503896OtherALBLUE CROSS BLUE SHIELD
051511090OtherALBLUE CROSS BLUE SHIELD
051518455OtherALBLUE CROSS BLUE SHIELD
P00310235OtherALMEDICARE RAILROAD RETIREM

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
I20090115000689 AL Practitioner - Nurse Practitioner 0840353942 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Clinic LLCGroup PAC ID 7012155609, 9 clinicians
Valley Head Clinic LLCGroup PAC ID 0941326888, shared by 2 NPIs, 7 clinicians

Practice addresses (Care Compare)

506 Harley St
Scottsboro, AL 35768-4219
Phone (256) 259-1234

60 Main St N
Section, AL 35771-7168
Phone (256) 228-3471

6110 County Rd
Suite 88
Pisgah, AL 35765

6110 County Rd
Suite 88
Pisgah, AL 35765-8166
Phone (256) 451-1250

PO Box
Suite 56
Scottsboro, AL 35768

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1037602ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Clinic LLC CurrentSince Nov 18, 2021 Accepting new patients
Northeast Alabama Health Services, Inc. CurrentSince Feb 23, 2026 Accepting new patients
Northeast Alabama Health Services, Inc CurrentSince Feb 23, 2026 Accepting new patients
Inphynet Contracting Services LLC Past Accepting new patients
Paragon Contracting Services LLC Past Accepting new patients

Locations

309 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5313

503 Burlington St
Scottsboro, AL 35768
Phone (256) 259-1886

506 Harley St
Scottsboro, AL 35768
Phone (256) 259-1234

302 Main St S
Section, AL 35771
Phone (256) 228-3471

60 Main St N
Section, AL 35771
Phone (256) 228-3471

Organizations & group practices 5

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 4

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": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1093866337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1359 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683347",
            "telephone_number": "256-997-5900",
            "fax_number": "888-977-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1359 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683347",
            "telephone_number": "256-997-5900",
            "fax_number": "888-977-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "JANNA",
        "middle_name": "KAY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-15",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1037602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051503895",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051503891",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051503896",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051511090",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051518455",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD RETIREM",
            "identifier": "P00310235",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.