Individual provider Active NPI

Frances Kimbrell Bosarge

  • Registered Nurse
  • Birmingham, AL
National Provider Identifier
1114679388
Registry record updated Jan 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
1-156172 Issued in AL
Practice address
1802 6TH Ave S
Birmingham, AL 35233-1932
Phone
(205) 996-5111
NPI assigned
Jan 19, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-156172 AL Primary

Addresses

Primary practice location

1802 6TH Ave S
Birmingham, AL 35233-1932

Mailing address

1030 Ivy PL
Moody, AL 35004-2641
Phone (706) 288-4028

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
I20240715003653 AL Practitioner - Nurse Practitioner 1951846880 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilinca Prisacaru, MD, PCGroup PAC ID 6204206766, 3 clinicians
Pell City Internal Medicine LLCGroup PAC ID 0648426825, 6 clinicians

Practice addresses (Care Compare)

125 Jeffrey Wilson Dr
Odenville, AL 35120-5575
Phone (205) 352-0001

41 Eminence Way
Suite a
Pell City, AL 35128-2338
Phone (205) 884-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-156172ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Margaret Medical Clinic LLC CurrentSince May 1, 2026 Accepting new patients
Pell City Internal Medicine LLC CurrentSince Jun 1, 2024 Accepting new patients

Locations

125 Jeffrey Wilson Dr
Odenville, AL 35120
Phone (205) 227-0485

41 Eminence Way
Ste A
Pell City, AL 35128
Phone (205) 206-4518

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.

NPI Registry JSON

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642550400000",
    "number": "1114679388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 IVY PL",
            "city": "MOODY",
            "state": "AL",
            "postal_code": "350042641",
            "telephone_number": "706-288-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "205-996-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSARGE",
        "first_name": "FRANCES",
        "middle_name": "KIMBRELL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-156172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.