Individual provider Active NPI

Cara Hinckley, NP

  • Adult Health Nurse Practitioner
  • Andalusia, AL
National Provider Identifier
1346714680
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-136303 Issued in AL
Practice address
822 S Three Notch St Ste B
Andalusia, AL 36420-5310
Phone
(888) 681-5864
Fax
(334) 222-6633
NPI assigned
Jan 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-136303 AL Primary

Addresses

Primary practice location

822 S Three Notch St Ste B
Andalusia, AL 36420-5310

Mailing address

822 S Three Notch St Ste B
Andalusia, AL 36420-5310
Phone (888) 681-5864

Other practice location 1

287 Healthwest Dr
Dothan, AL 36303-2031
Phone (334) 792-9500

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
I20210308002585 AL Practitioner - Nurse Practitioner 2769898261 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

287 Healthwest Dr
Dothan, AL 36303-2031
Phone (334) 792-9500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Promoting interoperability
85
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dothan Hematology & Oncology PC CurrentSince May 1, 2023 Accepting new patients
Dothan Hematology & Oncology PC CurrentSince May 1, 2023 Accepting new patients

Locations

287 Healthwest Dr
Dothan, AL 36303
Phone (334) 792-9500

1118 Ross Clark Cir
Ste 200
Dothan, AL 36301
Phone (334) 793-4804

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 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": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681257600000",
    "number": "1346714680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 S THREE NOTCH ST STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205310",
            "telephone_number": "888-681-5864",
            "fax_number": "334-222-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 S THREE NOTCH ST STE B",
            "city": "ANDALUSIA",
            "state": "AL",
            "postal_code": "364205310",
            "telephone_number": "888-681-5864",
            "fax_number": "334-222-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "287 Healthwest Dr",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363032031",
            "country_code": "US",
            "telephone_number": "334-792-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HINCKLEY",
        "first_name": "CARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-21",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-136303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Andalusia, AL

Sources for this page

Verify at the official NPI Registry.