Individual provider Active NPI

Katelyn McCall Oliver, CRNP

  • Family Nurse Practitioner
  • Opelika, AL
National Provider Identifier
1326799024
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-143605 Issued in AL
Practice address
122 N 20TH St BLDG 24
Opelika, AL 36801-5442
Phone
(334) 745-4646
Fax
(334) 745-0633
NPI assigned
Jan 13, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-143605 AL Primary

Addresses

Primary practice location

122 N 20TH St BLDG 24
Opelika, AL 36801-5442

Mailing address

122 N 20TH St BLDG 24
Opelika, AL 36801-5442
Phone (334) 745-4646

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katelyn.oliver.1@20664.direct.athenahealth.com

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
I20220209002373 AL Practitioner - Nurse Practitioner 9335532647 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgencare, LLCGroup PAC ID 7113250325, 18 clinicians

Practice addresses (Care Compare)

2000 Samglenn Dr
Suite 200
Auburn, AL 36830-6549
Phone (334) 752-7022

Merit-based Incentive Payment System (MIPS)

Final score
93.42 of 100Reported as group
Quality
95.02
Promoting interoperability
99
Improvement activities
40
Cost
83.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Medicine Associates of East Alabama P C Single Specialty CurrentSince Jan 11, 2022 Accepting new patients
Urgencare, LLC Single Specialty CurrentSince Jul 20, 2024 Accepting new patients

Locations

2000 Samglenn Dr
Ste 200
Auburn, AL 36830
Phone (334) 752-7022

122 N 20th St
Bldg 24
Opelika, AL 36801
Phone (334) 745-4646

153 S College St
Hamilton, GA 31811
Phone (706) 628-9980

2169 West Point Rd
Ste 300
Lagrange, GA 30240
Phone (706) 668-5140

16 Market Square Rd
Newnan, GA 30265
Phone (706) 668-5140

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20664/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1326799024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 24",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-745-4646",
            "fax_number": "334-745-0633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N 20TH ST BLDG 24",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368015442",
            "telephone_number": "334-745-4646",
            "fax_number": "334-745-0633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "KATELYN",
        "middle_name": "MCCALL",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-143605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelyn.oliver.1@20664.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "122 N 20th St Bldg 24",
            "city": "Opelika",
            "state": "AL",
            "country_code": "US",
            "postal_code": "368015442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.