Summer Marie Phelps, CRNP
Individual provider Active NPI Family Nurse Practitioner · Wellington, AL
NPI 1689890337 · NPPES record last updated Mar 22, 2013
Key facts
- NPI
- 1689890337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-075298 (AL)
- Practice address
- 388 Terrace Meadow Dr
Wellington, AL 36279-4101 - Phone
- (256) 831-8100
- Fax
- (256) 831-8128
- NPI assigned
- Apr 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2 Grandview Cir
Gadsden, AL 35905-8837
PO Box
Suite 728
Bremen, GA 30110
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, GA
- 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 |
|---|---|---|---|---|
| I20060224000432 | AL | Practitioner - Nurse Practitioner | 6608882881 |
Reassigns benefits to 6 organizations Practice locations: Gadsden, AL |
| I20250930001797 | GA | Practitioner - Nurse Practitioner | 6608882881 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-075298 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 3:16 Urgent Care LLC | Current |
Accepting new patients | |
| Anniston Careplus, LLC | Current |
Accepting new patients | |
| Quality of Life Health Services Inc | Current | Accepting new patients | |
| Ft Payne Careplus, LLC | Current |
Accepting new patients | |
| App of Alabama Ed PLLC | Current |
Accepting new patients | |
| Gadsden HB Medical Services LLC | Current |
Accepting new patients | |
| 316 Family Medicine | Current |
Accepting new patients | |
| Careplus Family Medical, LLC | Current |
Accepting new patients | |
| Quality of Life Health Services, Inc | Current |
Accepting new patients | |
| Quality of Life Health Services, Inc | Current |
Accepting new patients | |
| Stacy J Haynes MD PC | Past |
Accepting new patients |
Locations
8914 US Highway 431
Albertville, AL 35950
Phone (256) 279-7200
700 Quintard Ave
Anniston, AL 36201
Phone (256) 231-0417
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
83825 Highway 9
Ashland, AL 36251
Phone (256) 354-1195
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
3000 Gault Ave N
Fort Payne, AL 35967
Phone (256) 697-1012
1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000
1605 Rainbow Dr
Gadsden, AL 35901
Phone (256) 442-6400
1411 Piedmont Cutoff
Gadsden, AL 35903
Phone (205) 492-0131
1009 Alabama Ave S
Bremen, GA 30110
Phone (678) 821-1660
222 Gordon St
Bremen, GA 30110
Phone (770) 537-1234
820 Maple St
Carrollton, GA 30117
Phone (678) 390-7900
Interoperability endpoints
- summer.phelps.1@22071.direct.athenahealth.com
- https://api.platform.athenahealth.com/22071/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-075298 | AL | Yes |
Addresses
Primary practice location
388 Terrace Meadow Dr
Wellington, AL 36279-4101
Mailing address
PO Box 285
Alexandria, AL 36250-0285
Phone (256) 831-8100
Other names
- Mrs. Summer Marie Roberts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2013. 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.