Individual provider Active NPI

Jessica Elizabeth Robbins, CRNP

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1447725080
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-138809 Issued in AL
Practice address
1323 Mulberry St Ste B
Montgomery, AL 36106-1545
Phone
(334) 264-3434
NPI assigned
Oct 10, 2018
Last updated
Oct 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-138809 AL Primary

Addresses

Primary practice location

1323 Mulberry St Ste B
Montgomery, AL 36106-1545

Mailing address

4461 Springdale Rd
Millbrook, AL 36054-1911
Phone (334) 202-9790

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
I20190807001700 AL Practitioner - Nurse Practitioner 1052648516 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wetumpka Urgent Care LLCGroup PAC ID 6800053133, 50 clinicians
Ivy Creek of Elmore LLCGroup PAC ID 8426075508, 99 clinicians
Physical ExpressGroup PAC ID 3476531039, 4 clinicians

Practice addresses (Care Compare)

11 Cambridge CT
Wetumpka, AL 36093-1261
Phone (334) 567-8633

2256 Gilmer Ave
Tallassee, AL 36078-7114
Phone (334) 283-2542

4081 Hwy 14
Millbrook, AL 36054-1994
Phone (334) 285-3222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Express CurrentSince Jun 5, 2019 Accepting new patients
Wetumpka Urgent Care LLC CurrentSince Jun 5, 2019 Accepting new patients
Chilton Family Care, LLC CurrentSince Jun 5, 2019 Accepting new patients
Ivy Creek of Elmore, LLC CurrentSince Oct 1, 2022 Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek of Elmore, LLC Current Accepting new patients
Ivy Creek of Elmore LLC CurrentSince Oct 1, 2022 Accepting new patients
Ivy Creek of Tallapoosa LLC CurrentSince Jan 1, 2021 Accepting new patients
Ivy Creek of Tallapoosa, LLC CurrentSince Jan 1, 2021 Accepting new patients
Global Imaging Specialists, LLC PastSince Jun 5, 2019 Accepting new patients
Ivycreek of Elmore LLC Past Accepting new patients
Adams Family Practice PC Past Accepting new patients

Locations

1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620

201 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-0677

301 Mariarden Rd
Dadeville, AL 36853
Phone (256) 825-7871

301 Mariarden Rd
Ste B
Dadeville, AL 36853
Phone (256) 825-7164

301 Mariarden Rd
Ste D
Dadeville, AL 36853
Phone (256) 825-7871

4412 Hogan Rd
Deatsville, AL 36022
Phone (334) 514-4851

4081 Highway 14
Millbrook, AL 36054
Phone (334) 285-3222

2256 Gilmer Ave
Tallassee, AL 36078
Phone (334) 283-2542

41 Cambridge Ct
Wetumpka, AL 36093
Phone (334) 567-3309

500 Hospital Dr
Wetumpka, AL 36092
Phone (334) 283-2542

Organizations & group practices 12

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 1

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": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1447725080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4461 SPRINGDALE RD",
            "city": "MILLBROOK",
            "state": "AL",
            "postal_code": "360541911",
            "telephone_number": "334-202-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1323 MULBERRY ST STE B",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361061545",
            "telephone_number": "334-264-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "JESSICA",
        "middle_name": "ELIZABETH",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-138809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.