Individual provider Active NPI

Callie Grace Cichra, FNP-C

  • Family Nurse Practitioner
  • Alabaster, AL
National Provider Identifier
1619434818
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-141242 Issued in AL
Practice address
1022 1St St N
Alabaster, AL 35007-8706
Phone
(205) 663-5775
NPI assigned
Feb 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 1-141242 AL Primary

Addresses

Primary practice location

1022 1St St N
Alabaster, AL 35007-8706

Mailing address

1022 1St St N
Alabaster, AL 35007-8706
Phone (205) 663-5775

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
I20220411002082 AL Practitioner - Nurse Practitioner 2062808496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart South Cardiovascular Group, P.C.Group PAC ID 3476455668, 22 clinicians

Practice addresses (Care Compare)

1022 1St St N
Suite 500
Alabaster, AL 35007-8740
Phone (205) 663-5775

Merit-based Incentive Payment System (MIPS)

Final score
89.8 of 100Reported as group
Promoting interoperability
88
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart South Cardiovascular Group, P.C. CurrentSince Jan 1, 2022 Accepting new patients

Locations

1022 1st St N
Alabaster, AL 35007
Phone (205) 621-3930

1022 1st St N
Ste 500
Alabaster, AL 35007
Phone (205) 663-5775

2022 Brookwood Medical Ctr Dr
Ste 412
Birmingham, AL 35209
Phone (205) 870-4343

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": "1550880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1619434818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078706",
            "telephone_number": "205-663-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078706",
            "telephone_number": "205-663-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CICHRA",
        "first_name": "CALLIE",
        "middle_name": "GRACE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-23",
        "last_updated": "2021-12-07",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-141242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

Verify at the official NPI Registry.