Keith Scott Classen, FNP
Individual provider Active NPI Family Nurse Practitioner · Atmore, AL
NPI 1629545926 · NPPES record last updated Nov 1, 2018
Key facts
- NPI
- 1629545926
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-096876 (AL)
- Practice address
- 401 Medical Park Dr
Atmore, AL 36502-3091 - Phone
- (251) 368-2500
- NPI assigned
- Oct 25, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Escambia County Alabama Community Hospitals, Inc
Practice addresses (Care Compare)
401 Medical Park Dr
Atmore, AL 36502-3006
Phone (251) 368-2500
5850 Hwy 21
Atmore, AL 36502-6333
Phone (251) 368-6245
Hospital & facility affiliations
- Atmore Community Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190318000810 | AL | Practitioner - Nurse Practitioner | 2466792122 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Escambia County Alabama Community Hospitals, Inc. | Current |
Accepting new patients | |
| Escambia County Alabama Community Hospitals, Inc | Current |
Accepting new patients | |
| Escambia County Alabama Community Hospitals, Inc. | Current |
Accepting new patients |
Locations
5850 Highway 21
Atmore, AL 36502
Phone (251) 368-6245
402 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-6362
401 S 8th Ave
Atmore, AL 36502
Phone (251) 368-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-096876 | AL | Yes |
Addresses
Primary practice location
401 Medical Park Dr
Atmore, AL 36502-3091
Mailing address
401 Medical Park Dr
Atmore, AL 36502-3091
Phone (251) 368-2500
Other providers in Atmore, AL
- Buckley and Buckley Family Dentistry
- Daniel Morrisroe Buckley
- Shaeteriea Callaway
- Rachel L Chambers
- Selina Chee
- John Taylor Cooper
- Felecia Crawford
- Latisha Sharnice Dailey
- Elizabeth Daughtry
- Denton Dental of Atmore PC Dba Save-on Dental Care of Atmore
All providers in Atmore, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.