Nicole Ann Redenius, DO

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

DO.3612 Issued in AL

Practice address

1751 Veterans Dr Ste 125
Florence, AL 35630-4932

Phone

(256) 766-0150

NPI assigned

Mar 22, 2019

Last updated

Apr 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Niki Terrell Redenius Other name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ecm Health Group LLCGroup PAC ID 9436395225, 139 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Alabama Medical Center Hospital, Florence, AL, CCN 010006
• North Alabama Shoals Hospital Hospital, Muscle Shoals, AL, CCN 010157

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nicole.redenius.1@6269.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ecm Health Group LLC

  • Obstetrics & Gynecology Physician
  • Florence, AL
  • NPI 1346588852
  Medicare reassignment Care Compare group NPD
• Tennessee Valley Surgery Group

  • Surgery Physician
  • Florence, AL
  • NPI 1356309652
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• RCHP - Florence LLC

  dba North Alabama Medical Center

  • General Acute Care Hospital
  • Florence, AL
  • NPI 1477874337
  Care Compare affiliation
• RCHP - Florence LLC

  dba Shoals Hospital

  • General Acute Care Hospital
  • Muscle Shoals, AL
  • NPI 1699096552
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1609336080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 125",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304932",
            "telephone_number": "256-766-0150",
            "fax_number": "855-377-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 VETERANS DR STE 125",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356304932",
            "telephone_number": "256-766-0150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDENIUS",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "DO.3612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "REDENIUS",
            "middle_name": "TERRELL",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• RCHP-Florence LLC (Eliza Coffee Memorial Hospital - Pathology)
• RCHP-Florence LLC (Eliza Coffee Memorial Hospital - ER)
• RCHP-Florence LLC (ECM Psychiatric Associates)
• Alicia Reaves, NP
• Mariko A Redcross, RN
• Kristi Lynn Reece, MSN FNP-BC, CRNP
• Clark Reed, DO
• Kristen Schultz Reed, MD
• Lauren Brittney Peebles Reeves, DMD
• Rehab and Sports Medicine of the Shoals, Inc

• Surgery Physician in Florence, AL
• Providers in Florence, AL by specialty
• Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.