Individual provider Active NPI

Jocelyn A Allyn, FNPC

  • Family Nurse Practitioner
  • Selma, AL
National Provider Identifier
1629110895
Registry record updated Sep 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-149809 Issued in AL
Practice address
1023 Medical Center Pkwy
Suite 310
Selma, AL 36701-6780
Phone
(334) 418-6656
Fax
(334) 418-6657
NPI assigned
Feb 13, 2007
Last updated
Sep 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2003027280 MO
Family Nurse Practitioner 363LF0000X 1-149809 AL Primary
Family Health Clinical Nurse Specialist 364SF0001X 2003027280 MO

Addresses

Primary practice location

1023 Medical Center Pkwy
Suite 310
Selma, AL 36701-6780

Mailing address

PO Box 1206
Selma, AL 36702-1206

Other identifiers 4

IdentifierTypeStateIssuer
82738OtherARARK BLUE SHIELD
157481758MedicaidAR
186350OtherMOMO BLUE SHIELD
428402101MedicaidMO

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
I20151022001757 AL Practitioner - Nurse Practitioner 9830182864 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vaughan Physician Practices, LLCGroup PAC ID 8123126851, 12 clinicians

Practice addresses (Care Compare)

1023 Medical Ctr Pkwy
Selma, AL 36701-7738

1023 Medical Ctr Pkwy
Suite 311
Selma, AL 36701-7740
Phone (334) 418-6652

1023 Medical Ctr Pkwy
Suite 401
Selma, AL 36701-6712
Phone (334) 875-7173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003027280MOMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Vaughan Physician Practices LLC CurrentSince Sep 29, 2015 Accepting new patients
Vaughan Physician Practices, LLC Current Accepting new patients
Vaughan Physician Practices LLC CurrentSince Sep 29, 2015 Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Vaughan Physician Practices LLC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1023 Medical Center Pkwy
Ste 305
Selma, AL 36701
Phone (334) 801-9952

1023 Medical Center Pkwy
Ste 310
Selma, AL 36701
Phone (334) 418-6656

1023 Medical Center Pkwy
Ste 401
Selma, AL 36701
Phone (334) 875-7173

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19364/brand/1/csg/21/fhir/r4
  • Direct secure messaging: jocelyn.allyn.1@19364.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442793600000",
    "number": "1629110895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1206",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367021206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 MEDICAL CENTER PKWY",
            "address_2": "SUITE 310",
            "city": "SELMA",
            "state": "AL",
            "postal_code": "367016780",
            "telephone_number": "334-418-6656",
            "fax_number": "334-418-6657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLYN",
        "first_name": "JOCELYN",
        "middle_name": "A",
        "credential": "FNPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2003027280",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-149809",
            "primary": true
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "MO",
            "license": "2003027280",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE SHIELD",
            "identifier": "82738",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157481758",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE SHIELD",
            "identifier": "186350",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "428402101",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, AL

Sources for this page

Verify at the official NPI Registry.