Individual provider Active NPI

Deanna Markris, RN, CRNP

  • Gerontology Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1508355694
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-081903 Issued in AL
Practice address
1515 S University Blvd
Mobile, AL 36609-2958
Phone
(251) 343-9600
Fax
(251) 380-7308
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-081903 AL Primary

Addresses

Primary practice location

1515 S University Blvd
Mobile, AL 36609-2958

Mailing address

1515 S University Blvd
Mobile, AL 36609-2958
Phone (251) 343-9600

Other names 1

  • Deanna Baer Former name

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
I20180801003798 AL Practitioner - Nurse Practitioner 2961750328 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Saad Enterprises, Inc.Group PAC ID 3779493226, 4 clinicians
Saad Healthcare Clinic LLCGroup PAC ID 9436658721, 5 clinicians

Practice addresses (Care Compare)

1515 S University Blvd
Mobile, AL 36609-2958
Phone (251) 343-9600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saad Enterprises, Inc. Current Accepting new patients
Saad Enterprises, Inc. CurrentSince Jun 9, 2018 Accepting new patients
Saad Enterprises, Inc. CurrentSince Jun 9, 2018 Accepting new patients
Saad Healthcare Clinic LLC CurrentSince Jul 5, 2025 Accepting new patients
Saad Medical Management, Inc Past Accepting new patients

Locations

1515 S University Blvd
Mobile, AL 36609
Phone (251) 287-8886

Interoperability endpoints

  • Direct secure messaging: deanna.markris.1@31318.direct.athenahealth.com

Organizations & group practices 10

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": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1508355694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092958",
            "telephone_number": "251-343-9600",
            "fax_number": "251-380-7308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S UNIVERSITY BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366092958",
            "telephone_number": "251-343-9600",
            "fax_number": "251-380-7308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKRIS",
        "first_name": "DEANNA",
        "name_prefix": "Ms.",
        "credential": "RN, CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-081903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "BAER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.