Individual provider Active NPI

Cecilia Renee Robinson, CRNP

  • Family Nurse Practitioner
  • Dothan, AL
National Provider Identifier
1487600607
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-074572 Issued in AL
Practice address
500 Healthwest Dr
Dothan, AL 36303-6900
Phone
(334) 699-5994
Fax
(334) 699-5995
NPI assigned
May 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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 1-074572 AL Primary

Addresses

Primary practice location

500 Healthwest Dr
Dothan, AL 36303-6900

Mailing address

500 Healthwest Dr
Dothan, AL 36303-6900
Phone (334) 699-5994

Other identifiers 2

IdentifierTypeStateIssuer
129839MedicaidAL
51113702OtherALBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cecilia.robinson.2@3326.direct.athenahealth.com

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
I20060718000227 AL Practitioner - Nurse Practitioner 3678586542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wiregrass Clinic LLCGroup PAC ID 2860662491, 69 clinicians

Practice addresses (Care Compare)

4300 W Main St
Dothan, AL 36305-1058

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Dothan, AL, CCN 017164
  • Flowers Hospital Hospital, Dothan, AL, CCN 010055
  • Southeast Health Medical Center Hospital, Dothan, AL, CCN 010001
  • Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-074572ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Clinic LLC Family CurrentSince Oct 1, 2016 Accepting new patients
Enterprise Clinic LLC CurrentSince Mar 14, 2011 Accepting new patients

Locations

4300 W Main St
Ste 16
Dothan, AL 36305
Phone (334) 793-1038

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

4126 W Main St
Dothan, AL 36305
Phone (334) 793-2120

4300 W Main St
Ste 21
Dothan, AL 36305
Phone (334) 699-7900

500 Healthwest Dr
Dothan, AL 36303
Phone (334) 677-1690

4300 W Main St
Ste 45
Dothan, AL 36305
Phone (334) 673-0049

4300 W Main St
Ste 15
Dothan, AL 36305
Phone (334) 699-2004

101 E Brunson St
Ste 110
Enterprise, AL 36330
Phone (334) 347-9355

805 E Lee St
Ste C
Enterprise, AL 36330
Phone (334) 348-8818

169 N 2nd Ave
Hartford, AL 36344
Phone (334) 588-0408

Interoperability endpoints

  • Direct secure messaging: cecilia.robinson.2@3326.direct.athenahealth.com
  • Direct secure messaging: cecilia.robinson.3@3326.direct.athenahealth.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.

Hospital & facility affiliations 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1487600607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036900",
            "telephone_number": "334-699-5994",
            "fax_number": "334-699-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HEALTHWEST DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363036900",
            "telephone_number": "334-699-5994",
            "fax_number": "334-699-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CECILIA",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-074572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129839",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51113702",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cecilia.robinson.2@3326.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "500 Healthwest Dr",
            "city": "Dothan",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363036900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

Verify at the official NPI Registry.