Individual provider Active NPI

Jennifer Burns, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1114796190
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-118526 Issued in AL
Practice address
PO Box 2091
Decatur, AL 35602-2091
Phone
(256) 350-1458
Fax
(256) 350-1485
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 1-118526 AL Primary

Addresses

Primary practice location

PO Box 2091
Decatur, AL 35602-2091

Mailing address

PO Box 2091
Decatur, AL 35602-2091
Phone (256) 350-1458

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
I20240125000437 AL Practitioner - Nurse Practitioner 0840643961 Reassigns benefits to 1 organization

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
Centers for Developmentally Disabled, North Central AlGroup PAC ID 2668565938, 2 clinicians

Practice addresses (Care Compare)

2122 Danville Rd SW
Decatur, AL 35601-4617
Phone (256) 260-7991

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Decatur Morgan Hospital - Decatur Campus Hospital, Decatur, AL, CCN 010085

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Developmentally Disabled, North Central Al Family CurrentSince Sep 6, 2024 Accepting new patients

Locations

2122 Danville Rd SW
Decatur, AL 35601
Phone (256) 260-7991

1602 Church St SE
Decatur, AL 35601
Phone 2563501458 ext. 248

Organizations & group practices 1

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 2

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1114796190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2091",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356022091",
            "telephone_number": "256-350-1458",
            "fax_number": "256-350-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 2091",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356022091",
            "telephone_number": "256-350-1458",
            "fax_number": "256-350-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-118526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.