Individual provider Active NPI

Daniel John Oates III, CRNP

  • Family Nurse Practitioner
  • Bay Minette, AL
National Provider Identifier
1326596354
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-105085 Issued in AL
Practice address
108 McMeans Ave
Bay Minette, AL 36507-3130
Phone
(251) 937-7100
NPI assigned
Sep 19, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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 1-105085 AL Primary

Addresses

Primary practice location

108 McMeans Ave
Bay Minette, AL 36507-3130

Mailing address

49920A Dyas Rd
Bay Minette, AL 36507-7300
Phone (251) 753-6287

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
I20160928000946 AL Practitioner - Nurse Practitioner 7517254949 Reassigns benefits to 1 organization

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
Imc-North Baldwin Primary Plus, LLCGroup PAC ID 4880857952, 3 clinicians

Practice addresses (Care Compare)

2115 Hand Ave
Suite B
Bay Minette, AL 36507-4149
Phone (251) 937-7100

Hospital & facility affiliations

  • Amedisys Home Health of Foley Home health agency, Foley, AL, CCN 017069
  • North Baldwin Infirmary Hospital, Bay Minette, AL, CCN 010129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Imc-North Baldwin Primary Plus, LLC CurrentSince Sep 21, 2016 Accepting new patients
Urgent Care 59, PC Past Accepting new patients

Locations

108C McMeans Ave
Bay Minette, AL 36507
Phone (251) 491-0059

2115 Hand Ave
Ste B
Bay Minette, AL 36507
Phone (251) 937-7100

Interoperability endpoints

  • Direct secure messaging: doates34596@directinfirmaryhealth.org

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 4

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": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1326596354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49920A DYAS RD",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365077300",
            "telephone_number": "251-753-6287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 MCMEANS AVE",
            "city": "BAY MINETTE",
            "state": "AL",
            "postal_code": "365073130",
            "telephone_number": "251-937-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OATES",
        "first_name": "DANIEL",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-105085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Minette, AL

Sources for this page

Verify at the official NPI Registry.