Individual provider Active NPI

Rachel Amanda Maxey, CRNP

  • Nurse Practitioner
  • Homewood, AL
National Provider Identifier
1679224125
Registry record updated Jul 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-171116 Issued in AL
Practice address
3485 Independence Dr
Homewood, AL 35209-5603
Phone
(205) 930-0920
Fax
(205) 445-0115
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-171116 AL Primary

Addresses

Primary practice location

3485 Independence Dr
Homewood, AL 35209-5603

Mailing address

3485 Independence Dr
Homewood, AL 35209-5603
Phone (205) 930-0920

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
I20240529004056 AL Practitioner - Nurse Practitioner 2961844469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Centers of Alabama, PCGroup PAC ID 0941264345, 60 clinicians

Practice addresses (Care Compare)

985 9TH Ave SW
Suite 408
Bessemer, AL 35020-0001
Phone (205) 481-7680

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Centers of Alabama PC CurrentSince Jun 1, 2024 Accepting new patients
Urology Centers of Alabama PC CurrentSince Jun 1, 2024 Accepting new patients

Locations

985 9th Ave SW
Ste 408
Bessemer, AL 35022
Phone (205) 481-7680

3489 Independence Dr
Birmingham, AL 35209

3332 Old Montgomery Hwy
Ste 103
Homewood, AL 35209

3485 Independence Dr
Homewood, AL 35209

Organizations & group practices 2

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": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721520000000",
    "number": "1679224125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 INDEPENDENCE DR",
            "city": "HOMEWOOD",
            "state": "AL",
            "postal_code": "352095603",
            "telephone_number": "205-930-0920",
            "fax_number": "205-445-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "RACHEL",
        "middle_name": "AMANDA",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2024-07-21",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-171116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homewood, AL

Sources for this page

Verify at the official NPI Registry.