Individual provider Active NPI

Caitlin Richelle Mensie Jones, RN

  • Family Nurse Practitioner
  • Cullman, AL
National Provider Identifier
1780145672
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-166720 Issued in AL
Practice address
1701 Main Ave SW Ste E
Cullman, AL 35055-5385
Phone
(256) 737-4100
Fax
(256) 737-4101
NPI assigned
Mar 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X 1-166720 AL
Family Nurse Practitioner 363LF0000X 1-166720 AL Primary

Addresses

Primary practice location

1701 Main Ave SW Ste E
Cullman, AL 35055-5385

Mailing address

1802 6TH Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3411

Other practice location 1

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3411

Other names 1

  • Ms. Caitlin Richelle Mensie Former name

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
I20230614003362 AL Practitioner - Nurse Practitioner 0648638221 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Alabama School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cullman Pain and Wellness LLCGroup PAC ID 1052724713, 14 clinicians
Gardendale Pain and Wellness LLCGroup PAC ID 1254690134, 9 clinicians

Practice addresses (Care Compare)

1848 Parkland Dr NE
Cullman, AL 35058-6100
Phone (256) 737-4000

2215 Decatur Hwy
Suite 101
Gardendale, AL 35071-2384
Phone (205) 608-8199

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.19 of 100Reported as group
Quality
58.18
Improvement activities
40
Cost
76.12

Merit-based Incentive Payment System (MIPS)

Final score
82.48 of 100Reported as group
Quality
66.85
Improvement activities
40
Cost
75.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-166720ALMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cullman Pain and Wellness LLC Single Specialty CurrentSince Jul 12, 2023 Accepting new patients
Gardendale Pain and Wellness, LLC Single Specialty CurrentSince Jul 12, 2023 Accepting new patients
Cullman Pain and Wellness LLC Single Specialty CurrentSince Jul 12, 2023 Accepting new patients

Locations

1701 Main Ave SW
Ste E
Cullman, AL 35055
Phone (256) 531-9213

1848 Parkland Dr NE
Cullman, AL 35058
Phone (256) 737-4100

2215 Decatur Hwy
Ste 101
Gardendale, AL 35071
Phone (205) 502-5959

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 and National Provider Directory roles.

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": "1553472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1780145672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "205-934-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MAIN AVE SW STE E",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350555385",
            "telephone_number": "256-737-4100",
            "fax_number": "256-737-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1802 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352331932",
            "country_code": "US",
            "telephone_number": "205-934-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAITLIN",
        "middle_name": "RICHELLE MENSIE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-25",
        "last_updated": "2023-07-30",
        "certification_date": "2023-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "AL",
            "license": "1-166720",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-166720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "MENSIE",
            "middle_name": "RICHELLE",
            "prefix": "MS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cullman, AL

Sources for this page

Verify at the official NPI Registry.