Individual provider Active NPI

Kristen Marie Rush, CRNP

  • Gerontology Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1760057327
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-135886 Issued in AL
Practice address
141 Tuscaloosa St
Mobile, AL 36607-3422
Phone
(251) 433-3344
Fax
(251) 433-4052
NPI assigned
May 25, 2021
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1-135886 AL Primary

Addresses

Primary practice location

141 Tuscaloosa St
Mobile, AL 36607-3422

Mailing address

PO Box 7987
Mobile, AL 36670-0987
Phone (251) 633-7211

Other practice location 1

8725 County Road 64
Daphne, AL 36526-6061
Phone (251) 625-1370

Other practice location 2

5955 Airport Blvd
Mobile, AL 36608-3135
Phone (251) 633-0573

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
I20211027000740 AL Practitioner - Nurse Practitioner 8224426069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5955 Airport Blvd
Mobile, AL 36608-3135
Phone (251) 633-0573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.38 of 100Reported as group
Promoting interoperability
96
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Mobile PC Current Accepting new patients
Pulmonary Associates of Mobile PC CurrentSince Aug 15, 2021 Accepting new patients
Pulmonary Associates of Mobile PC PastSince Jun 1, 2021 Accepting new patients

Locations

8725 County Road 64
Daphne, AL 36526
Phone (251) 625-1370

100 Memorial Hospital Dr
Ste 1A
Mobile, AL 36608
Phone (251) 343-6848

141 Tuscaloosa St
Mobile, AL 36607
Phone (251) 433-3344

5955 Airport Blvd
Mobile, AL 36608
Phone (251) 633-0573

Organizations & group practices 3

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 2

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1760057327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7987",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366700987",
            "telephone_number": "251-633-7211",
            "fax_number": "251-410-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 TUSCALOOSA ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073422",
            "telephone_number": "251-433-3344",
            "fax_number": "251-433-4052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8725 County Road 64",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "365266061",
            "country_code": "US",
            "telephone_number": "251-625-1370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5955 Airport Blvd",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083135",
            "country_code": "US",
            "telephone_number": "251-633-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSH",
        "first_name": "KRISTEN",
        "middle_name": "MARIE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-135886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.