Active NPI
Shayna Perkins, CRNP
- Family Nurse Practitioner
- Mobile, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-140674
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05559817 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, AL, KY, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
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
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 100
- Quality
- 82.53
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-140674 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| The Diabetes Center, PLLC | Current | Accepting new patients | |
| University of South Alabama Health Care Authority | Current | Accepting new patients | |
| Community Care Health Network LLC | Nurse Practitioner | Current | 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
- 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.
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1508392432
-
- General Practice Physician
- Dallas, TX
- NPI 1689158487
AL, KY, MS, Nurse Practitioner, VA
-
- Adult Health Nurse Practitioner
- Ocean Springs, MS
- NPI 1043391436
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.