Dana Ofeldt, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Tuscaloosa, AL
NPI 1104511054 · NPPES record last updated Oct 16, 2024
Key facts
- NPI
- 1104511054
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 1-118998 (AL)
- Practice address
- 1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990 - Phone
- (205) 507-8940
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State of Alabama Dept of Mental Health and Mental Retardation
Practice addresses (Care Compare)
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone (205) 507-8000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230908000202 | AL | Practitioner - Nurse Practitioner | 6507220654 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-118998 | AL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Alabama Dept of Mental Health & Mental Retardation | Current |
Accepting new patients | |
| State of Alabama Dept of Mental Health & Mental Retardation | Current | Accepting new patients | |
| State of Alabama Dept of Finace | Current |
Accepting new patients |
Locations
200 University Blvd
Tuscaloosa, AL 35401
Phone (205) 759-0715
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404
Phone (205) 507-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 1-118998 | AL | Yes |
Addresses
Primary practice location
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Mailing address
1651 Ruby Tyler Pkwy
Tuscaloosa, AL 35404-2990
Phone (205) 507-8940
Other providers in Tuscaloosa, AL
- Kingsley Nkwachukwu Nwaobasi
- Nycf LLC
- Thesus O'Neal-Thomas
- Andrew Oakland
- Ramona (Mona) Elizabeth Ochoa-Horshok
- Shawnna Ogden
- Gabriel Chinedum Okenwa
- Parthenia Marie Oliver
- Oms Pharmacy Inc
- Oms Pharmacy, Inc.
All providers in Tuscaloosa, AL · Psychiatric/Mental Health Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.