Individual provider Active NPI

Kristi McKeever Lunceford, CRNP

  • Family Medicine Physician
  • Gardendale, AL
National Provider Identifier
1295211795
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-115288 Issued in AL
Practice address
2215 Decatur Hwy Ste 101
Gardendale, AL 35071-2384
Phone
(205) 608-8199
Fax
(205) 608-8195
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-115288 AL Primary

Addresses

Primary practice location

2215 Decatur Hwy Ste 101
Gardendale, AL 35071-2384

Mailing address

701 Ann CT
Gardendale, AL 35071-2704
Phone (205) 790-1278

Other practice location 1

20 Hazelwood Dr
Pell City, AL 35125-3382
Phone (205) 512-3767

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
I20181106001909 AL Practitioner - Nurse Practitioner 9830443027 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Pain and Wellness LLCGroup PAC ID 1052724713, 14 clinicians
Gardendale Pain and Wellness LLCGroup PAC ID 1254690134, 9 clinicians

Practice addresses (Care Compare)

1848 Parkland Dr NE
Cullman, AL 35058-6100
Phone (256) 737-4000

2215 Decatur Hwy
Suite 101
Gardendale, AL 35071-2384
Phone (205) 608-8199

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as group
Quality
58.18
Improvement activities
40
Cost
76.12

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as group
Quality
66.85
Improvement activities
40
Cost
75.58

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Family Care, LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
American Family Care, LLC Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
Cullman Pain and Wellness LLC CurrentSince Apr 1, 2022 Accepting new patients
Cullman Pain and Wellness LLC CurrentSince Apr 1, 2022 Accepting new patients
American Family Care, LLC Current Accepting new patients
Gardendale Pain and Wellness, LLC CurrentSince Apr 23, 2019 Accepting new patients

Locations

9232 Parkway E
Birmingham, AL 35206
Phone (205) 833-6888

1701 Main Ave SW
Ste E
Cullman, AL 35055
Phone (256) 531-9213

1848 Parkland Dr NE
Cullman, AL 35058
Phone (256) 737-4100

2215 Decatur Hwy
Ste 101
Gardendale, AL 35071
Phone (205) 502-5959

8151 Whitesburg Dr SE
Huntsville, AL 35802
Phone (256) 882-9711

20 Hazelwood Dr
Pell City, AL 35125
Phone (205) 338-8008

Organizations & group practices 6

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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1295211795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 ANN CT",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712704",
            "telephone_number": "205-790-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 DECATUR HWY STE 101",
            "city": "GARDENDALE",
            "state": "AL",
            "postal_code": "350712384",
            "telephone_number": "205-608-8199",
            "fax_number": "205-608-8195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Hazelwood Dr",
            "address_purpose": "LOCATION",
            "city": "Pell City",
            "state": "AL",
            "postal_code": "351253382",
            "country_code": "US",
            "telephone_number": "205-512-3767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNCEFORD",
        "first_name": "KRISTI",
        "middle_name": "MCKEEVER",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-115288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardendale, AL

Sources for this page

Verify at the official NPI Registry.