Individual provider Active NPI

Deanna Elizabeth Negron, NP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1730832932
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01220950 Issued in AL
Practice address
535 Schillinger Rd S
Mobile, AL 36695-8915
Phone
(228) 223-1927
Fax
(228) 382-9224
NPI assigned
Jan 28, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LF0000X F01220950 AL Primary

Addresses

Primary practice location

535 Schillinger Rd S
Mobile, AL 36695-8915

Mailing address

535 Schillinger Rd S
Mobile, AL 36695-8915
Phone (228) 223-1927

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Www.maxemhealthurgentcare.com

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
I20220506000809 AL Practitioner - Nurse Practitioner 5193102424 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F01220950ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Maxem Health Urgent Care Mobile Single Specialty CurrentSince Feb 15, 2022 Accepting new patients
Mochi Medical Ca PC Past Accepting new patients
Cloud Health Medical Group of California, P.C. Single Specialty Past Accepting new patients
Saint Francis Medical Center Single Specialty Past Accepting new patients
Cloud Health Medical Group of New Jersey, P.C. Single Specialty Past Accepting new patients
Cloud Health Medical Group, P.a. Single Specialty Past Accepting new patients

Locations

535 Schillinger Rd S
#A
Mobile, AL 36695
Phone (251) 544-6611

Organizations & group practices 6

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": "1643328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1730832932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 SCHILLINGER RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958915",
            "telephone_number": "228-223-1927",
            "fax_number": "228-382-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 SCHILLINGER RD S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366958915",
            "telephone_number": "228-223-1927",
            "fax_number": "228-382-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "DEANNA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-28",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F01220950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Www.maxemhealthurgentcare.com",
            "affiliation": "N",
            "address_1": "535 Schillinger Rd S",
            "city": "Mobile",
            "state": "AL",
            "country_code": "US",
            "postal_code": "366958915",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.