Individual provider Active NPI

Rachel Clark Wilkinson, RN, CRNP

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1457483810
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1088072 Issued in AL
Practice address
100 Pilot Medical Drive
#300
Birmingham, AL 35235
Phone
(205) 856-2284
Fax
(205) 815-4864
NPI assigned
Mar 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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 1088072 AL Primary

Addresses

Primary practice location

100 Pilot Medical Drive
#300
Birmingham, AL 35235

Mailing address

100 Pilot Medical Drive
#300
Birmingham, AL 35235
Phone (205) 856-2284

Other identifiers 1

IdentifierTypeStateIssuer
51541873OtherALBCBS

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
I20081110000183 AL Practitioner - Nurse Practitioner 4183783905 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Heart Clinic, PLLCGroup PAC ID 6901822444, 26 clinicians

Practice addresses (Care Compare)

100 Pilot Medical Dr
Suite 300
Birmingham, AL 35235-3412
Phone (205) 856-2284

Merit-based Incentive Payment System (MIPS)

Final score
88.97 of 100Reported as group
Quality
87.42
Promoting interoperability
100
Improvement activities
40
Cost
75.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1088072ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Heart Clinic, PLLC CurrentSince Nov 22, 2009 Accepting new patients
Birmingham Heart Clinic, PLLC CurrentSince Nov 22, 2009 Accepting new patients

Locations

100 Pilot Medical Dr
Ste 185
Birmingham, AL 35235

100 Pilot Medical Dr
Ste 300
Birmingham, AL 35235
Phone (205) 856-2284

2217 Decatur Hwy
Gardendale, AL 35071
Phone (205) 418-1200

150 Gilbreath Dr
Ste 102
Oneonta, AL 35121
Phone (205) 274-3010

74 Plaza Dr
Ste 2B
Pell City, AL 35125
Phone (205) 856-2284

524 W Grand Ave
Rainbow City, AL 35906
Phone (205) 856-2284

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • Direct secure messaging: rachael.wilkinson.p1@direct.bhc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rachel.wilkinson@ushv.eclinicaldirectplus.com

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1457483810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DRIVE",
            "address_2": "#300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-856-2284",
            "fax_number": "205-815-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PILOT MEDICAL DRIVE",
            "address_2": "#300",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35235",
            "telephone_number": "205-856-2284",
            "fax_number": "205-815-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINSON",
        "first_name": "RACHEL",
        "middle_name": "CLARK",
        "name_prefix": "Ms.",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-12",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1088072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51541873",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.