Ellen Wills Ball, APN-FNP
Individual provider Active NPI Family Nurse Practitioner · Tuscaloosa, AL
NPI 1669933461 · NPPES record last updated Jul 31, 2024
Key facts
- NPI
- 1669933461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-197519 (AL)
- Practice address
- 850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457 - Phone
- (205) 348-1770
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeast Physician Network, P.C.
Practice addresses (Care Compare)
1780 McFarland Blvd N
Tuscaloosa, AL 35406-2136
Phone (205) 345-7351
Hospital & facility affiliations
- DCH Regional Medical Center
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 |
|---|---|---|---|---|
| I20240108004544 | AL | Practitioner - Nurse Practitioner | 8628304482 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capstone Health Services Foundation PC | Current |
Accepting new patients | |
| Southeast Physician Network, P.C. | Current |
Accepting new patients | |
| Southeast Physician Network, P.C. | Current |
Accepting new patients | |
| Capstone Health Services Foundation PC | Current |
Accepting new patients |
Locations
6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122
850 Peter Bryce Blvd
Tuscaloosa, AL 35401
1780 McFarland Blvd N
Tuscaloosa, AL 35406
Phone (205) 345-7351
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-197519 | AL | Yes |
Addresses
Primary practice location
850 Peter Bryce Blvd
Tuscaloosa, AL 35401-7457
Mailing address
625 Canyon Cir N
Tuscaloosa, AL 35406-2166
Phone (901) 463-0144
Other providers in Tuscaloosa, AL
- Robert Lindon Baldwin III
- Catherine Ball
- Charles Alden Ball
- Cierra Silver Ball
- Elizabeth Ball
- Leticia Ball
- Mary Geraldine Ball
- Robert Shane Ballard
- Bama Heart Doc, P.C.
- Bama Medical Equipment
All providers in Tuscaloosa, 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 Jul 31, 2024. 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.