Individual provider Active NPI

Alexandra Blum Maksimowski, CRNP

  • Acute Care Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1578023214
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-143525 Issued in AL
Practice address
1890 Al Highway 157
Cullman, AL 35058-3601
Phone
(256) 737-5175
Fax
(256) 417-4269
NPI assigned
Mar 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-143525 AL Primary

Addresses

Primary practice location

1890 Al Highway 157
Cullman, AL 35058-3601

Mailing address

PO Box 2895
Cullman, AL 35056-2895
Phone (256) 735-5044

Other practice location 1

3690 Grandview Pkwy
Birmingham, AL 35243-3326
Phone (205) 971-5235

Other practice location 2

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

Other practice location 3

1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2682

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
I20190819003594 AL Practitioner - Nurse Practitioner 8820326523 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CRMC Medical Group LLCGroup PAC ID 8729419874, 81 clinicians
Cullman Regional Medical Group Hospitalists LLCGroup PAC ID 5395176481, 34 clinicians

Practice addresses (Care Compare)

1890 Al Hwy 157
Suite 102
Cullman, AL 35058-0689
Phone (256) 903-0300

1912 Al Hwy 157
Cullman, AL 35058-0609
Phone (256) 737-2682

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-143525ALMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Mountain Group Services, LLC CurrentSince Apr 1, 2019 Accepting new patients
CRMC Medical Group LLC CurrentSince Mar 1, 2025 Accepting new patients
Oak Mountain Group Services, LLC Current Accepting new patients
Cullman Regional Medical Group Hospitalists LLC CurrentSince Jun 13, 2022 Accepting new patients
CRMC Medical Group LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

1890 AL Highway 157
Ste 102
Cullman, AL 35058
Phone (256) 903-0300

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

1930 AL Highway 157
Cullman, AL 35058
Phone (256) 734-7850

1890 AL Highway 157
Cullman, AL 35058
Phone (256) 737-8000

3070 Healthy Way
Vestavia, AL 35243
Phone (205) 977-7216

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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 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": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1578023214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2895",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350562895",
            "telephone_number": "256-735-5044",
            "fax_number": "256-801-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350583601",
            "telephone_number": "256-737-5175",
            "fax_number": "256-417-4269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3690 Grandview Pkwy",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352433326",
            "country_code": "US",
            "telephone_number": "205-971-5235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hospital Dr SW",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "AL",
            "postal_code": "358016455",
            "country_code": "US",
            "telephone_number": "256-429-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2682",
            "fax_number": "256-737-2152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKSIMOWSKI",
        "first_name": "ALEXANDRA",
        "middle_name": "BLUM",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-143525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.