Active NPI
Brent Mortensen, CRNP
- Acute Care Nurse Practitioner
- Cullman, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1-118166
- Practice address
- 1938 Al Highway 157 Ste 101
Cullman, AL 35058-1819 - Phone
- (256) 739-4030
- NPI assigned
- Mar 17, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-118166 | AL | Primary |
Addresses
Primary practice location
1938 Al Highway 157 Ste 101
Cullman, AL 35058-1819
Mailing address
234 County Road 1408
Cullman, AL 35058-0539
Other practice location 1
1635 Highway 31 NW Ste C
Hartselle, AL 35640-4482
Phone (256) 735-5900
Other practice location 2
300 Hospital St
Moulton, AL 35650-1268
Phone (731) 394-1145
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Orthopaedic Center | Current | Accepting new patients | |
| Ultra Health LLC | Current | Accepting new patients | |
| HH Health System - the Orthopaedic Center, LLC | Current | Accepting new patients | |
| Synergy Medical Partners, LLC | Past | Accepting new patients |
Locations
22454 US Highway 72
Ste 200
Athens, AL 35613
Phone (256) 233-2332
927 Franklin St SE
Fl 3
Huntsville, AL 35801
Phone 25653927283326
927 Franklin St SE
Fl 2
Huntsville, AL 35801
Phone (256) 428-3000
5275 Millennium Dr NW
Huntsville, AL 35806
Phone (256) 489-6800
927 Franklin St SE
Fl 1
Huntsville, AL 35801
8415 Wann Dr NW
Madison, AL 35758
Phone (256) 704-1210
300 Hospital St
Moulton, AL 35650
Phone (256) 974-1146
1130 Hale St
Oxford, AL 36203
Phone (256) 831-0481
Interoperability endpoints
- https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4
- https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
-
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1205880291
-
- General Practice Physician
- Huntsville, AL
- NPI 1912467309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1316308307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "234 COUNTY ROAD 1408",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350580539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1938 AL HIGHWAY 157 STE 101",
"city": "CULLMAN",
"state": "AL",
"postal_code": "350581819",
"telephone_number": "256-739-4030"
}
],
"practiceLocations": [
{
"address_1": "1635 Highway 31 NW Ste C",
"address_purpose": "LOCATION",
"city": "Hartselle",
"state": "AL",
"postal_code": "356404482",
"country_code": "US",
"telephone_number": "256-735-5900",
"fax_number": "256-417-4719",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Hospital St",
"address_purpose": "LOCATION",
"city": "Moulton",
"state": "AL",
"postal_code": "356501268",
"country_code": "US",
"telephone_number": "731-394-1145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORTENSEN",
"first_name": "BRENT",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-17",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "AL",
"license": "1-118166",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cullman, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.