Individual provider Active NPI

Audrea Annette Dooley, CRNP

  • Nurse Practitioner
  • Gulf Shores, AL
National Provider Identifier
1396070835
Registry record updated Feb 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-087258 Issued in AL
Practice address
101E 15TH Ave
Gulf Shores, AL 36542-3501
Phone
(251) 962-1250
Fax
(251) 962-3095
NPI assigned
Oct 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-087258 AL Primary

Addresses

Primary practice location

101E 15TH Ave
Gulf Shores, AL 36542-3501

Mailing address

101E 15TH Ave
Gulf Shores, AL 36542-3501
Phone (251) 962-1250

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
I20151123002956 AL Practitioner - Nurse Practitioner 9931409927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nidal Morrar MD LLCGroup PAC ID 9537191424, 2 clinicians

Practice addresses (Care Compare)

1604 N McKenzie St
Foley, AL 36535-2248
Phone (251) 955-1030

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Foley, AL, CCN 017052
  • Baldwin Health Hospital, Foley, AL, CCN 010083
  • Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Merit-based Incentive Payment System (MIPS)

Final score
91.58 of 100Reported as individual
Quality
98.04
Improvement activities
40
Cost
74.54

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-087258ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nidal Morrar MD LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

1604 N McKenzie St
Foley, AL 36535
Phone (251) 955-1030

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456099200000",
    "number": "1396070835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101E 15TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423501",
            "telephone_number": "251-962-1250",
            "fax_number": "251-962-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101E 15TH AVE",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423501",
            "telephone_number": "251-962-1250",
            "fax_number": "251-962-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "AUDREA",
        "middle_name": "ANNETTE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2016-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-087258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Shores, AL

Sources for this page

Verify at the official NPI Registry.