Active NPI
Jennifer Shea Sanders Pope, DNP, CRNP, FNP-C
- Family Nurse Practitioner
- Robertsdale, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9390693
- Practice address
- 18317 US Highway 90
Robertsdale, AL 36567 - Phone
- (251) 947-2000
- NPI assigned
- Jan 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9390693 | FL | Primary |
Addresses
Primary practice location
18317 US Highway 90
Robertsdale, AL 36567
Mailing address
18317 US Highway 90
Robertsdale, AL 36567
Phone (251) 947-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y0RN5 | Other | FL | BCBS |
| ID056Z | Other | FL | MEDICARE INDIVIDUAL PROVIDER PTAN |
| K4348 | Other | FL | MEDICARE GROUP PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18317 US Hwy 90
Robertsdale, AL 36567
Phone (251) 947-2000
Hospital & facility affiliations
- Thomas Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9390693 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients | |
| Imc-Eastern Shore Adult Medicine, LLC | Current | Accepting new patients | |
| Imc-Emergency Physicians LLC | Current | Accepting new patients | |
| Imc-Central Baldwin Physicians LLC | Current | Accepting new patients | |
| Imc-Diagnostic and Medical Clinic LLC | Current | Accepting new patients |
Locations
1815 Hand Ave
Bay Minette, AL 36507
Phone (251) 279-1553
27961 US Highway 98
Ste 12
Daphne, AL 36526
Phone (251) 445-0075
300 Greeno Rd S
Fairhope, AL 36532
Phone (251) 928-9560
300 Greeno Rd S
#B
Fairhope, AL 36532
Phone (251) 929-3424
1725 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-1366
1700 Spring Hill Ave
Ste 100
Mobile, AL 36604
Interoperability endpoints
- jpope30000@directinfirmaryhealth.org
Organizations & group practices 5
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
- Robertsdale, AL
- NPI 1346697539
-
- Internal Medicine Physician
- Mobile, AL
- NPI 1447201066
-
- Internal Medicine Physician
- Fairhope, AL
- NPI 1912284852
-
- Emergency Medicine Physician
- Bay Minette, AL
- NPI 1578048278
-
- Multi-Specialty Clinic/Center
- Saraland, AL
- NPI 1568235000
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fairhope, AL
- NPI 1447303227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637712000000",
"number": "1720477151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18317 US HIGHWAY 90",
"city": "ROBERTSDALE",
"state": "AL",
"postal_code": "36567",
"telephone_number": "251-947-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18317 US HIGHWAY 90",
"city": "ROBERTSDALE",
"state": "AL",
"postal_code": "36567",
"telephone_number": "251-947-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "JENNIFER",
"middle_name": "SHEA SANDERS",
"name_prefix": "Dr.",
"credential": "DNP, CRNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-22",
"last_updated": "2021-11-24",
"certification_date": "2021-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9390693",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y0RN5",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE INDIVIDUAL PROVIDER PTAN",
"identifier": "ID056Z",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "K4348",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Robertsdale, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2021; 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.