Individual provider Active NPI

Debra Dinges, CRNP

  • Family Nurse Practitioner
  • Killen, AL
National Provider Identifier
1740227016
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1035809 Issued in AL
Practice address
6459 Highway 72
Killen, AL 35645-8258
Phone
(256) 272-0275
NPI assigned
Jun 2, 2006
Last updated
Aug 15, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1035809 AL Primary

Addresses

Primary practice location

6459 Highway 72
Killen, AL 35645-8258

Mailing address

735 Jabo Dr
Killen, AL 35645-8425

Other identifiers 2

IdentifierTypeStateIssuer
51521034OtherALBLUE CROSS ID #
529919990MedicaidAL

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
I20040304000137 AL Practitioner - Nurse Practitioner 9032006929 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Mobile, PCGroup PAC ID 5092968255, 33 clinicians

Practice addresses (Care Compare)

1701 Veterans Dr
Florence, AL 35630-4928
Phone (256) 629-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1035809ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Services of Mobile PC CurrentSince May 1, 2023 Accepting new patients
Ecm Health Group LLC CurrentSince Nov 1, 2019 Accepting new patients
Northwest Alabama Emergency Medicine LLC CurrentSince Jun 1, 2021 Accepting new patients
Lister Healthcare Corporation Past Accepting new patients

Locations

1701 Veterans Dr
Florence, AL 35630
Phone (256) 629-1900

541 W College St
Ste 3200
Florence, AL 35630
Phone (256) 760-0098

541 W College St
Ste 3300
Florence, AL 35630
Phone (256) 766-6026

6459 Highway 72
Killen, AL 35645
Phone (256) 272-0275

5 Mobile Infirmary Cir
Mobile, AL 36607
Phone (251) 432-4415

201 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-1600

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1740227016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 JABO DR",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356458425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6459 HIGHWAY 72",
            "city": "KILLEN",
            "state": "AL",
            "postal_code": "356458258",
            "telephone_number": "256-272-0275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DINGES",
        "first_name": "DEBRA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1035809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID #",
            "identifier": "51521034",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529919990",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Killen, AL

Sources for this page

Verify at the official NPI Registry.