Individual provider Active NPI

Amanda Wheeler, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1124861737
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-180914 Issued in AL
Practice address
40 Inverness Center Parkway
Suite 200
Birmingham, AL 35242
Phone
(205) 802-2000
NPI assigned
Jun 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-180914 AL Primary

Addresses

Primary practice location

40 Inverness Center Parkway
Suite 200
Birmingham, AL 35242

Mailing address

605 S Sanders Rd
Hoover, AL 35226-2443
Phone (601) 402-0135

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
I20240729003038 AL Practitioner - Nurse Practitioner 9638615404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pulmonary Associates of the Southeast PCGroup PAC ID 4486630415, 10 clinicians

Practice addresses (Care Compare)

40 Inverness Ctr Pkwy
Suite 200
Hoover, AL 35242-4988
Phone (205) 802-2000

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-180914ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of the Southeast PC CurrentSince Aug 5, 2024 Accepting new patients

Locations

40 Inverness Center Pkwy
Ste 200
Hoover, AL 35242
Phone (205) 802-2000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20095/brand/1/csg/1/fhir/r4
  • Direct secure messaging: amanda.wheeler.1@20095.direct.athenahealth.com

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 1

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": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1124861737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S SANDERS RD",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352262443",
            "telephone_number": "601-402-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 INVERNESS CENTER PARKWAY",
            "address_2": "SUITE 200",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35242",
            "telephone_number": "205-802-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-180914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.