Jennifer Nicole Odom, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

1-133663 Issued in AL

Practice address

1613 N McKenzie St
Foley, AL 36535-2247

Phone

(251) 949-3710

Fax

(251) 949-3715

NPI assigned

Nov 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Foley Clinic Corp.Group PAC ID 5193741759, 86 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baldwin Health Hospital, Foley, AL, CCN 010083

Merit-based Incentive Payment System (MIPS)

Final score

87.97 of 100Reported as apm

Quality

75.95

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1599/brand/1/csg/341/fhir/r4

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.

• Foley Clinic Corp

  • Family Medicine Physician
  • Gulf Shores, AL
  • NPI 1629027826
  Medicare reassignment Care Compare group NPD
• Foley Clinic Corp

  dba Gulf Coast Occupational, Sports & Pain Management

  • Durable Medical Equipment & Medical Supplies
  • Foley, AL
  • NPI 1427296029
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Foley Hospital Company LLC

  dba Baldwin Health

  • General Acute Care Hospital
  • Foley, AL
  • NPI 1053382655
  Care Compare affiliation

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1255761938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "251-949-3479",
            "fax_number": "251-949-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 N MCKENZIE ST",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365352247",
            "telephone_number": "251-949-3710",
            "fax_number": "251-949-3715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ODOM",
        "first_name": "JENNIFER",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-18",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-133663",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-133663",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-133663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03637799",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100681410",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236578",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nursetel
• Rachel Nicole Nygaard, CRNP
• Sean O'Mara, M.D.
• Karlee Dale O'Steen
• OB-GYN Associates of Baldwin County, P.C.
• Becky Odvody, CRNP
• John T Olsen, DO
• One Life Chiropractic, Inc.
• Optical World
• Optics of Life Limited Liability Company (Baldwin Optical and Hearing Aid)

• Acute Care Nurse Practitioner in Foley, AL
• Providers in Foley, AL by specialty
• Acute Care Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.