Individual provider Active NPI

Kristine Dee Wesley, MSN, BSN, RN

  • Acute Care Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1336784719
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-150087 Issued in AL
Practice address
3056 Healthy Way Ste 100
Birmingham, AL 35243-2435
Phone
(205) 930-2925
NPI assigned
Nov 9, 2019
Last updated
Jan 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-150087 AL Primary
Critical Care Medicine Registered Nurse 163WC0200X 1-150087 AL

Addresses

Primary practice location

3056 Healthy Way Ste 100
Birmingham, AL 35243-2435

Mailing address

3056 Healthy Way Ste 100
Birmingham, AL 35243-2435
Phone (205) 930-2925

Other names 1

  • Kris Wesley Other name

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712002390 AL Practitioner - Cardiac Surgery 0244610921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
University of Alabama School of Medicine, 2021
Medicare assignment
May accept Medicare assignment
Group practices
STV Cardiothoracic Surgeons LLCGroup PAC ID 7618262155, 14 clinicians

Practice addresses (Care Compare)

3056 Healthy Way
Suite 100
Birmingham, AL 35243-2435
Phone (205) 930-2925

50 Medical Park Dr E
Suite 310 BLDG 46
Birmingham, AL 35235-3401

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-150087ALMDCritical Care Medicine Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
STV Cardiothoracic Surgeons LLC Multi-Specialty CurrentSince Jun 22, 2022 Accepting new patients

Locations

2871 Acton Rd
Ste 100
Vestavia, AL 35243
Phone (205) 716-6900

3056 Healthy Way
Ste 100
Vestavia, AL 35243
Phone (205) 930-2925

Interoperability endpoints

  • Direct secure messaging: kristine.wesley.1@9069.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1573257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1336784719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 HEALTHY WAY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432435",
            "telephone_number": "205-930-2925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 HEALTHY WAY STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432435",
            "telephone_number": "205-930-2925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESLEY",
        "first_name": "KRISTINE",
        "middle_name": "DEE",
        "credential": "MSN, BSN, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-09",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-150087",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AL",
            "license": "1-150087",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRIS",
            "last_name": "WESLEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.