Individual provider Active NPI

Anna Crain Adamczyk, MSN, FNP-C

  • Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1407438435
Registry record updated Apr 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-155569 Issued in AL
Practice address
701 University Blvd E
Tuscaloosa, AL 35401-2086
Phone
(205) 759-7878
Fax
(205) 759-7744
NPI assigned
Apr 28, 2021
Last updated
Apr 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2022

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 1-155569 AL Primary

Addresses

Primary practice location

701 University Blvd E
Tuscaloosa, AL 35401-2086

Mailing address

701 University Blvd E
Tuscaloosa, AL 35401-2086
Phone (205) 759-7878

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
I20210628000611 AL Practitioner - Nurse Practitioner 4385045483 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

701 University Blvd E
Tuscaloosa, AL 35401-2092

809 University Blvd E
Tuscaloosa, AL 35401-2092

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-155569ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The DCH Health Care Authority CurrentSince Dec 8, 2024 Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
West Alabama Palliative Care Service LLC Current Accepting new patients
DCH Healthcare Authority Current Accepting new patients
The DCH Healthcare Authority Current Accepting new patients
West Alabama Physician Associates, LLC CurrentSince Apr 1, 2022 Accepting new patients
West Alabama Physician Associates LLC Past Accepting new patients

Locations

2700 Hospital Dr
Northport, AL 35476
Phone (205) 333-4500

3901 Greensboro Ave
Ste A
Tuscaloosa, AL 35405
Phone (205) 759-6165

701 University Blvd E
Tuscaloosa, AL 35401
Phone (205) 556-3800

701 University Blvd E
Ste 908
Tuscaloosa, AL 35401
Phone (205) 344-9393

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

Organizations & group practices 7

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 4

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": "1619568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1407438435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-759-7878",
            "fax_number": "205-759-7744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 UNIVERSITY BLVD E",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012086",
            "telephone_number": "205-759-7878",
            "fax_number": "205-759-7744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMCZYK",
        "first_name": "ANNA",
        "middle_name": "CRAIN",
        "name_prefix": "Ms.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-28",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-155569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.