Individual provider Active NPI

Nancy Champion, CRNP

  • Nurse Practitioner
  • Saraland, AL
National Provider Identifier
1396948295
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1092613 Issued in AL
Practice address
1084 Industrial Pkwy
Suite C
Saraland, AL 36571-3726
Phone
(251) 675-5034
Fax
(251) 675-8511
NPI assigned
Jun 7, 2007
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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 1092613 AL Primary

Addresses

Primary practice location

1084 Industrial Pkwy
Suite C
Saraland, AL 36571-3726

Mailing address

8 S Pine St
Mobile, AL 36604-2518
Phone (251) 675-5034

Other names 1

  • Mrs. Nancy Ruehl Former 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000403 AL Practitioner - Nurse Practitioner 3072787621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cogent Healthcare of Decatur, LLCGroup PAC ID 0446141972, 13 clinicians

Practice addresses (Care Compare)

809 University Blvd E
Tuscaloosa, AL 35401-2029
Phone (205) 759-7111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1092613ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Alabama at Birmingham Current Accepting new patients
Cogent Healthcare of Decatur, LLC Nurse Practitioner CurrentSince Jan 1, 2022 Accepting new patients

Locations

1023 Medical Center Pkwy
Ste 200
Selma, AL 36701
Phone (334) 875-4184

809 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 333-4661

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

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1396948295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S PINE ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366042518",
            "telephone_number": "251-675-5034",
            "fax_number": "251-675-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 INDUSTRIAL PKWY",
            "address_2": "SUITE C",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365713726",
            "telephone_number": "251-675-5034",
            "fax_number": "251-675-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-07",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1092613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "RUEHL",
            "prefix": "MRS.",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saraland, AL

Sources for this page

Verify at the official NPI Registry.