Jennifer Hansmann Umbarger, CRNP
Individual provider Active NPI Acute Care Nurse Practitioner · Mobile, AL
NPI 1447724935 · NPPES record last updated Jan 17, 2019
Key facts
- NPI
- 1447724935
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 1-102402 (AL)
- Practice address
- 1700 Spring Hill Ave
Mobile, AL 36604-1407 - Phone
- (251) 435-1200
- NPI assigned
- Jan 17, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Imc-Diagnostic and Medical Clinic LLC
Practice addresses (Care Compare)
1700 Springhill Ave
Suite 100
Mobile, AL 36604-1416
Phone (251) 435-1200
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190308002009 | AL | Practitioner - Nurse Practitioner | 1355680315 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-102402 | AL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Diagnostic and Medical Clinic LLC | Current |
Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current |
Accepting new patients |
Locations
1700 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-6850
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
Interoperability endpoints
- jumbarger2050@directinfirmaryhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1-102402 | AL | Yes |
Addresses
Primary practice location
1700 Spring Hill Ave
Mobile, AL 36604-1407
Mailing address
11035 Wulff Rd S
Semmes, AL 36575-6007
Other providers in Mobile, AL
- Shannon K. Tyler
- Lisa Tynes
- Warren Glen Tyon
- Rebecca C Tyson-Levie
- U. S. Coast Guard Aviation Training Center Mobile
- Unbound Counseling LLC
- United Cerebral Palsy of Mobile Inc
- United Home Care Services, LLC
- United States Coast Guard
- University of South Alabama
All providers in Mobile, AL · Acute Care Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.