Individual provider Active NPI

Ellen Hamm Hamby, CRNP

  • Family Nurse Practitioner
  • Vestavia, AL
National Provider Identifier
1346648706
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-130879 Issued in AL
Practice address
8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563
Phone
(205) 968-5988
NPI assigned
Dec 16, 2014
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1-130879 AL
Family Nurse Practitioner 363LF0000X 1-130879 AL Primary

Addresses

Primary practice location

8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563

Mailing address

8000 Liberty Pkwy Ste 114
Vestavia, AL 35242-7563
Phone (205) 968-5988

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
I20150325000413 AL Practitioner - Nurse Practitioner 7113244450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Affinity Physician Services, LLCGroup PAC ID 4385651751, 92 clinicians

Practice addresses (Care Compare)

2556 Helena Rd
Suite C
Helena, AL 35080-3260
Phone (205) 685-4870

5890 Valley Rd
Suite 200
Birmingham, AL 35235-8669
Phone (205) 655-7600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-130879ALMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physician Services LLC CurrentSince Jan 5, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 1, 2016 Accepting new patients
Rural Urgent Care LLC CurrentSince Oct 1, 2016 Accepting new patients
Brookwood Primary Care - Inverness, L.L.C. Past Accepting new patients

Locations

5890 Valley Rd
Ste 200
Birmingham, AL 35235
Phone (205) 655-7600

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

225 Helena Market Pl
Helena, AL 35080
Phone (205) 409-2794

2556 Helena Rd
Ste C
Helena, AL 35080
Phone (205) 685-4870

8000 Liberty Pkwy
Ste 114
Vestavia, AL 35242
Phone (205) 968-5988

Interoperability endpoints

  • Direct secure messaging: ellen.hamby.4@9954.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1418688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1346648706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 114",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427563",
            "telephone_number": "205-968-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 LIBERTY PKWY STE 114",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352427563",
            "telephone_number": "205-968-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMBY",
        "first_name": "ELLEN",
        "middle_name": "HAMM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-16",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AL",
            "license": "1-130879",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-130879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

Verify at the official NPI Registry.