Individual provider Active NPI

Wanda Michelle Patterson, CRNP

  • Family Nurse Practitioner
  • Alexander City, AL
National Provider Identifier
1316212764
Registry record updated Mar 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-093146 Issued in AL
Practice address
44 Aliant Pkwy
Alexander City, AL 35010-3426
Phone
(256) 234-4131
NPI assigned
Mar 19, 2012
Last updated
Mar 20, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2012

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 1-093146 AL Primary

Addresses

Primary practice location

44 Aliant Pkwy
Alexander City, AL 35010-3426

Mailing address

PO Box 789
Alexander City, AL 35011-0789
Phone (256) 723-4413

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
I20120504000119 AL Practitioner - Nurse Practitioner 7618139882 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wound Management Specialists LLCGroup PAC ID 5193056364, 157 clinicians
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

Rockford, AL 35136
Phone (769) 243-6141

903 Chapman Creek Rd
Equality, AL 36026-4622
Phone (769) 243-6141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Plus Limited Liability Company CurrentSince Aug 14, 2024 Accepting new patients
Pricare, PA Current Accepting new patients
Wound Management Specialists, LLC CurrentSince Jan 3, 2022 Accepting new patients

Locations

44 Aliant Pkwy
Alexander City, AL 35010
Phone (256) 234-4131

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11536/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332201600000",
    "number": "1316212764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 789",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350110789",
            "telephone_number": "256-723-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 ALIANT PKWY",
            "city": "ALEXANDER CITY",
            "state": "AL",
            "postal_code": "350103426",
            "telephone_number": "256-234-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "WANDA",
        "middle_name": "MICHELLE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-093146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexander City, AL

Sources for this page

Verify at the official NPI Registry.