Individual provider Active NPI

Michaela Stephens, FNP-C

  • Family Nurse Practitioner
  • Tuscaloosa, AL
National Provider Identifier
1689244030
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-151768 Issued in AL
Practice address
4960 Rice Mine Rd NE Ste 10
Tuscaloosa, AL 35406-3136
Phone
(205) 777-9181
NPI assigned
Jun 28, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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 1-151768 AL Primary

Addresses

Primary practice location

4960 Rice Mine Rd NE Ste 10
Tuscaloosa, AL 35406-3136

Mailing address

3201 Hargrove Rd E Apt 3003
Tuscaloosa, AL 35405-3460
Phone (205) 777-9181

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
I20220921000505 AL Practitioner - Nurse Practitioner 0840675286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whatley Health Services IncGroup PAC ID 8224921705, 84 clinicians

Practice addresses (Care Compare)

2731 ML King Jr Blvd
Tuscaloosa, AL 35401-5235
Phone (205) 758-6647

Hospital & facility affiliations

  • Amedisys Home Health of Tuscaloosa Home health agency, Northport, AL, CCN 017300
  • DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-151768ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Whatley Health Services, Inc. CurrentSince Jun 6, 2022 Accepting new patients
Whatley Health Services Inc CurrentSince Jun 6, 2022 Accepting new patients
Whatley Health Services, Inc. Past Accepting new patients

Locations

2731 Ml King Jr Blvd
Tuscaloosa, AL 35401
Phone (205) 349-3250

Interoperability endpoints

  • Direct secure messaging: mstephens601167@direct.ochin.org

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1689244030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 HARGROVE RD E APT 3003",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053460",
            "telephone_number": "205-777-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4960 RICE MINE RD NE STE 10",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354063136",
            "telephone_number": "205-777-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "MICHAELA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-151768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscaloosa, AL

Sources for this page

Verify at the official NPI Registry.