Individual provider Active NPI

Cristin Prater

  • Acute Care Nurse Practitioner
  • Anniston, AL
National Provider Identifier
1144766700
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-123807 Issued in AL
Practice address
1031 Quintard Ave Ste 1a
Anniston, AL 36201-5714
Phone
(256) 231-2552
Fax
(256) 231-2550
NPI assigned
Jan 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-123807 AL Primary

Addresses

Primary practice location

1031 Quintard Ave Ste 1a
Anniston, AL 36201-5714

Mailing address

1031 Quintard Ave Ste 1a
Anniston, AL 36201-5714
Phone (256) 231-2552

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
I20180626003252 AL Practitioner - Nurse Practitioner 9335494715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Salame Heart and Vascular Clinic LLCGroup PAC ID 3274683834, 2 clinicians

Practice addresses (Care Compare)

1031 Quintard Ave
1A
Anniston, AL 36201-5714

Hospital & facility affiliations

  • Northeast Alabama Regional Medical Center Hospital, Anniston, AL, CCN 010078

Merit-based Incentive Payment System (MIPS)

Final score
83.76 of 100Reported as group
Quality
65.25
Promoting interoperability
96
Improvement activities
40
Cost
79.06

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-123807ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Salame Heart and Vascular Clinic LLC CurrentSince Mar 31, 2018 Accepting new patients
Affinity Cardiovascular Specialists LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

901 Leighton Ave
Ste 702
Anniston, AL 36207
Phone (256) 231-2552

1031 Quintard Ave
Ste 1A
Anniston, AL 36201
Phone (256) 231-2552

7063 Veterans Pkwy
Pell City, AL 35125
Phone (205) 338-3301

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JAHGAA

Organizations & group practices 2

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": "1483660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1144766700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 QUINTARD AVE STE 1A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015714",
            "telephone_number": "256-231-2552",
            "fax_number": "256-231-2550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 QUINTARD AVE STE 1A",
            "city": "ANNISTON",
            "state": "AL",
            "postal_code": "362015714",
            "telephone_number": "256-231-2552",
            "fax_number": "256-231-2550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "CRISTIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-06",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-123807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anniston, AL

Sources for this page

Verify at the official NPI Registry.