Individual provider Active NPI

Mahaley Rachel Motzkus, CRNP, FNP-C

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1558092254
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-158185 Issued in AL
Practice address
1965 Al Highway 157 Ste B
Cullman, AL 35058-0672
Phone
(256) 775-2722
Fax
(256) 775-2648
NPI assigned
Jun 22, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 1-158185 AL Primary

Addresses

Primary practice location

1965 Al Highway 157 Ste B
Cullman, AL 35058-0672

Mailing address

1965 Al Highway 157 Ste B
Cullman, AL 35058-0672
Phone (256) 775-2722

Other practice location 1

1316 Somerville Rd SE Ste 3
Decatur, AL 35601-4309
Phone (256) 822-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1-158185ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Pediatrics, Inc. PastSince Apr 21, 2024 Accepting new patients

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": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1558092254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 AL HIGHWAY 157 STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580672",
            "telephone_number": "256-775-2722",
            "fax_number": "256-775-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 AL HIGHWAY 157 STE B",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580672",
            "telephone_number": "256-775-2722",
            "fax_number": "256-775-2648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1316 Somerville Rd SE Ste 3",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356014309",
            "country_code": "US",
            "telephone_number": "256-822-2525",
            "fax_number": "256-822-2527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTZKUS",
        "first_name": "MAHALEY",
        "middle_name": "RACHEL",
        "credential": "CRNP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-158185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.