Individual provider Active NPI

Marissa Bradlea Spivey

  • Nurse Practitioner
  • Birmingham, AL
National Provider Identifier
1477332252
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-186805 Issued in AL
Practice address
3670 Grandview Pkwy
Birmingham, AL 35243-3326
Phone
(205) 971-1800
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-186805 AL
Nurse Practitioner 363L00000X 1-186805 AL Primary

Addresses

Primary practice location

3670 Grandview Pkwy
Birmingham, AL 35243-3326

Mailing address

3670 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-1800

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
I20231208000472 AL Practitioner - Nurse Practitioner 3072962612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Birmingham Hematology Oncology Assoc LLCGroup PAC ID 1557265741, 31 clinicians

Practice addresses (Care Compare)

3686 Grandview Pkwy
Suite 540
Birmingham, AL 35243-3405
Phone (205) 592-5077

5000 Medical W Way
Suite 610
Bessemer, AL 35022-7082
Phone (205) 481-4511

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
79.44
Promoting interoperability
92
Improvement activities
40
Cost
75.2

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1-186805ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Hematology Oncology Assoc LLC CurrentSince Oct 21, 2023 Accepting new patients

Locations

5000 Medical West Way
Ste 610
Bessemer, AL 35022
Phone (205) 481-4511

500 Office Park Dr
Ste 400
Mountain Brk, AL 35223
Phone (205) 803-4384

Organizations & group practices 1

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": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1477332252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 GRANDVIEW PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352433326",
            "telephone_number": "205-971-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIVEY",
        "first_name": "MARISSA",
        "middle_name": "BRADLEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-186805",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-186805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.