Individual provider Active NPI

Shayna Perkins, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1699313650
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-140674 Issued in AL
Practice address
6304 USA Health Blvd
Mobile, AL 36608-0020
Phone
(251) 660-6400
Fax
(251) 660-6401
NPI assigned
Dec 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 903755 MS
Family Nurse Practitioner 363LF0000X 1-140674 AL Primary

Addresses

Primary practice location

6304 USA Health Blvd
Mobile, AL 36608-0020

Mailing address

PO Box 21595
Belfast, ME 04915-4112
Phone (251) 300-5941

Other identifiers 1

IdentifierTypeStateIssuer
05559817MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, AL, KY, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200207000548 MS Practitioner - Nurse Practitioner 5496181620 Reassigns benefits to 3 organizations
I20241104000190 AL Practitioner - Nurse Practitioner 5496181620 Reassigns benefits to 2 organizations
I20251111003634 KY Practitioner - Nurse Practitioner 5496181620 Reassigns benefits to 2 organizations
I20251229000275 VA Practitioner - Nurse Practitioner 5496181620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of South Alabama Health Care AuthorityGroup PAC ID 4082986088, 80 clinicians

Practice addresses (Care Compare)

6304 USA Health Blvd
Mobile, AL 36608-0020
Phone (251) 633-8880

Merit-based Incentive Payment System (MIPS)

Final score
96.27 of 100Reported as apm
Quality
82.53
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-140674ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC Nurse Practitioner CurrentSince Oct 10, 2025 Accepting new patients
The Diabetes Center, PLLC CurrentSince Jan 8, 2020 Accepting new patients
University of South Alabama Health Care Authority CurrentSince Oct 2, 2024 Accepting new patients
Community Care Health Network LLC Nurse Practitioner CurrentSince Jun 1, 2022 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

6701 Airport Blvd
#A1
Mobile, AL 36608
Phone (251) 633-8880

2423 Schillinger Rd S
Mobile, AL 36695
Phone (251) 660-5950

6304 USA Health Blvd
Mobile, AL 36608
Phone (251) 633-8880

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

312 S 4th St
Ste 700
Louisville, KY 40202
Phone (502) 628-5023

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

460 Briarwood Dr
Ste 400
Jackson, MS 39206
Phone (601) 203-1016

1278 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-3606

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1806 Summit Ave
Richmond, VA 23230
Phone (213) 433-2823

Interoperability endpoints

  • Direct secure messaging: shayna.perkins.1@16253.direct.athenahealth.com

Organizations & group practices 4

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": "1576800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1699313650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21595",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154112",
            "telephone_number": "251-300-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6304 USA HEALTH BLVD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366080020",
            "telephone_number": "251-660-6400",
            "fax_number": "251-660-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "SHAYNA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-20",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903755",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-140674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05559817",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.