Individual provider Active NPI

Jennifer Camp, CRNP

  • Acute Care Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1760086557
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-122114 Issued in AL
Practice address
1890 Al Highway 157 Ste 420
Cullman, AL 35058-0689
Phone
(256) 739-7050
NPI assigned
Nov 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1-122114 AL Primary

Addresses

Primary practice location

1890 Al Highway 157 Ste 420
Cullman, AL 35058-0689

Mailing address

1118 Cranford Rd
Arab, AL 35016-4701
Phone (256) 506-5909

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
I20210203000304 AL Practitioner - Nurse Practitioner 4688088651 Reassigns benefits to 3 organizations

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
HH Tennessee Valley Pain CenterGroup PAC ID 4587075783, 33 clinicians

Practice addresses (Care Compare)

201 Governors Dr SW
Suite 400
Huntsville, AL 35801-5183
Phone (256) 265-7246

Hospital & facility affiliations

  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Internal Medicine, PC CurrentSince May 2, 2022 Accepting new patients
Alabama Institute for Sleep Health, LLC CurrentSince Jul 1, 2022 Accepting new patients
HH Tennessee Valley Pain Center CurrentSince May 15, 2023 Accepting new patients
Tennessee Valley Pain Consultants, PC PastSince May 15, 2023 Accepting new patients

Locations

1890 AL Highway 157
Ste 300
Cullman, AL 35058
Phone (256) 737-2100

1803 Park View Dr
Cullman, AL 35058
Phone (256) 737-8000

1890 AL Highway 157
Ste 420
Cullman, AL 35058
Phone (256) 737-8073

201 Governors Dr SW
Ste 400
Huntsville, AL 35801
Phone (256) 265-7246

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.

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": "1606089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1760086557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 CRANFORD RD",
            "city": "ARAB",
            "state": "AL",
            "postal_code": "350164701",
            "telephone_number": "256-506-5909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 AL HIGHWAY 157 STE 420",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580689",
            "telephone_number": "256-739-7050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMP",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-23",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-122114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.