Amy Shirley, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-116147 Issued in AL

Practice address

5005 Oscar Baxter Dr
Tuscaloosa, AL 35405-3698

Phone

(205) 343-2225

Fax

(205) 333-0780

NPI assigned

Jan 23, 2015

Last updated

Jan 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Allegra Wellness of Tuscaloosa LLCGroup PAC ID 5597111872, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• DCH Regional Medical Center Hospital, Tuscaloosa, AL, CCN 010092

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: crimsonfirstcareafmc.amyshirley@124921.advancedmd-direct.com
• FHIR API: https://api.platform.athenahealth.com/15818/brand/1/csg/1/fhir/r4

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.

• Allegra Wellness of Tuscaloosa LLC

  • Family Medicine Physician
  • Northport, AL
  • NPI 1205515848
  Medicare reassignment Care Compare group
• Alabama Family Medical Center, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1245226489
  Medicare reassignment NPD
• Crimson Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1437668639
  Medicare reassignment NPD
• Crimson Care North

  • Family Medicine Physician
  • Northport, AL
  • NPI 1962284505
  Medicare reassignment NPD
• Crimson Urgent Care, LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1831205228
  Medicare reassignment NPD
• First Care LLC

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1164767083
  Medicare reassignment NPD
• First Kids

  • Family Medicine Physician
  • Tuscaloosa, AL
  • NPI 1245810886
  Medicare reassignment NPD
• Medcenter Demopolis, LLC

  • Family Medicine Physician
  • Demopolis, AL
  • NPI 1184913030
  Medicare reassignment NPD
• Medcenter Fayette, LLC

  • Family Medicine Physician
  • Fayette, AL
  • NPI 1235590001
  Medicare reassignment NPD
• Allegra Healthcare

  dba Allegra Primary Care

  • Family Medicine Physician
  • Northport, AL
  • NPI 1104550961
  NPD Authorized official
• Urgent Care Northwest PC

  • Family Medicine Physician
  • Jasper, AL
  • NPI 1548456494
  NPD (past)

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

• The DCH Health Care Authority

  dba DCH Health & Wellness Clinic

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1306613211

  Hospital

  Care Compare affiliation
• The DCH Health Care Authority

  dba DCH Outpatient Services

  • Clinic/Center
  • Tuscaloosa, AL
  • NPI 1780927681

  Hospital

  Care Compare affiliation
• The DCH Healthcare Authority

  dba DCH Regional Medical Center

  • General Acute Care Hospital
  • Tuscaloosa, AL
  • NPI 1841394418
  Care Compare affiliation

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

{
    "created_epoch": "1421971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674086400000",
    "number": "1770973125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-333-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 OSCAR BAXTER DR",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354053698",
            "telephone_number": "205-343-2225",
            "fax_number": "205-333-0780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRLEY",
        "first_name": "AMY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-23",
        "last_updated": "2023-01-19",
        "certification_date": "2023-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-116147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "1-116147",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Michael Sherrill, D.O.
• Sherrod Family Medical Clinic, LLC
• Brandon Sherrod, MD
• Prelinca R Sherrod, NP
• Gordon Albert Shields, M.D.
• Carl Grey Shirley, RPH
• Sara C. Shirley, SLP
• Tumkur S Shivashankara, M.D.
• Jamillia Renea Short
• Michael Shortall, MD

• Nurse Practitioner in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2023; 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.

Verify at the official NPI Registry.