Individual provider Active NPI

Sean Robert Bachelor, CRNP

  • Family Nurse Practitioner
  • Muscle Shoals, AL
National Provider Identifier
1457928392
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-135819 Issued in AL
Practice address
102 Physicians Dr Ste a
Muscle Shoals, AL 35661-2149
Phone
(256) 286-4026
Fax
(256) 381-4783
NPI assigned
Jun 9, 2021
Last updated
Mar 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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 1-135819 AL Primary

Addresses

Primary practice location

102 Physicians Dr Ste a
Muscle Shoals, AL 35661-2149

Mailing address

PO Box 298
Florence, AL 35631-0298
Phone (256) 767-7494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210820002532 TN Practitioner - Nurse Practitioner 8527463009 Reassigns benefits to 1 organization
I20230417000173 AL Practitioner - Nurse Practitioner 8527463009 Reassigns benefits to 1 organization

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
Lister Health Care CorporationGroup PAC ID 5395646202, 14 clinicians

Practice addresses (Care Compare)

102 Physicians Dr
Suite a
Muscle Shoals, AL 35661-2149
Phone (256) 286-4026

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lister Health Care Corporation Current Accepting new patients
Taylormade Medical LLC CurrentSince Jul 8, 2021 Accepting new patients
Lister Healthcare Corporation CurrentSince Mar 6, 2023 Accepting new patients
Lister Health Care Corporation CurrentSince Mar 6, 2023 Accepting new patients

Locations

30320 AL Highway 53
Ste B
Ardmore, AL 35739
Phone (256) 423-4800

102 Physicians Dr
Ste A
Muscle Shoals, AL 35661
Phone (256) 286-4026

104 Physicians Dr
Ste A
Muscle Shoals, AL 35661
Phone (256) 246-3490

611 S 1st St
Pulaski, TN 38478
Phone (931) 231-9692

Organizations & group practices 4

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1457928392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310298",
            "telephone_number": "256-767-7494",
            "fax_number": "256-760-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 PHYSICIANS DR STE A",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612149",
            "telephone_number": "256-286-4026",
            "fax_number": "256-381-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHELOR",
        "first_name": "SEAN",
        "middle_name": "ROBERT",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-135819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muscle Shoals, AL

Sources for this page

Verify at the official NPI Registry.