Individual provider Active NPI

Kelly Tomasie, CRNP

  • Family Nurse Practitioner
  • Madison, AL
National Provider Identifier
1629670666
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-146729 Issued in AL
Practice address
8375 Highway 72 W
Madison, AL 35758-9573
Phone
(256) 265-1000
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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 1-146729 AL Primary

Addresses

Primary practice location

8375 Highway 72 W
Madison, AL 35758-9573

Mailing address

101 Sivley Rd SW
Huntsville, AL 35801-4421

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
I20210216000205 AL Practitioner - Nurse Practitioner 8022423516 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
41.83 of 100Reported as group
Quality
3.95
Improvement activities
40
Cost
82.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians Group CurrentSince Jan 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 1, 2024 Accepting new patients
App of Alabama Ed PLLC CurrentSince Mar 4, 2023 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Oct 1, 2024 Accepting new patients
Crestwood HB Medical Services LLC CurrentSince Oct 1, 2023 Accepting new patients

Locations

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

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

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

8375 Highway 72 W
Madison, AL 35758
Phone (256) 265-2012

10210 Highway 431 S
New Hope, AL 35760
Phone (256) 936-5232

998 2nd Ave E
Oneonta, AL 35121
Phone (205) 395-5014

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.

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605225600000",
    "number": "1629670666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SIVLEY RD SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 HIGHWAY 72 W",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589573",
            "telephone_number": "256-265-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASIE",
        "first_name": "KELLY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-146729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

Verify at the official NPI Registry.