Raven Billups, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-131513 Issued in AL

Practice address

3909 McFarland Blvd
Northport, AL 35476-2838

Phone

(205) 330-1707

NPI assigned

Dec 16, 2021

Last updated

Mar 8, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Medcenter Fayette LLCGroup PAC ID 5193014611, 8 clinicians

Urgent Care Northwest PCGroup PAC ID 2062595598, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fayette Medical Center Hospital, Fayette, AL, CCN 010045

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4

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.

• Medcenter Fayette, LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1235590001
  Medicare reassignment Care Compare group NPD
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1548456494
  Medicare reassignment Care Compare group NPD
• Medcenter Demopolis, LLC

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1184913030
  Medicare reassignment NPD
• Medcenter Primary Care, LLC

  dba MedCenter NorthRiver

  • Family Medicine Physician
  • Northport, AL
  • NPI 1922546357
  Medicare reassignment NPD
• Tuscaloosa Medcenter North, LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1972518777
  Medicare reassignment NPD
• Tuscaloosa Medcenter South, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1689689481
  Medicare reassignment NPD
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Hazel Green, AL
  • NPI 1508749342
  NPD (past)
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1881577625
  NPD (past)
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Hartselle, AL
  • NPI 1942183785
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fayette Medical Center

  • General Acute Care Hospital
  • Fayette, AL
  • NPI 1851323836
  Care Compare affiliation

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646697600000",
    "number": "1336808377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-330-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 MCFARLAND BLVD",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354762838",
            "telephone_number": "205-330-1707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 17th Ct NE",
            "address_purpose": "LOCATION",
            "city": "Fayette",
            "state": "AL",
            "postal_code": "355551353",
            "country_code": "US",
            "telephone_number": "205-932-7777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BILLUPS",
        "first_name": "RAVEN",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-16",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-131513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudha Sagar Bennuri, MD
• India Jeaneice Berryhill, CRNP
• Erica Monique Bettis
• Rose M Betz, OD
• Justin Ray Bevel, MD
• Black Warrior Behavioral Health LLC
• Rain Henry Blankenship, DMD
• Jessica Lynn Bogucki
• Haley Bolen, CRNP
• Kelly M Bonnett, CRNP

• Family Nurse Practitioner in Northport, AL
• Providers in Northport, AL by specialty
• Family Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.