Individual provider Active NPI

Betsy McCulloch Osborn

  • Gerontology Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1821412396
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1-129748 Issued in AL
Practice address
600 Whitesport Cir SW
Huntsville, AL 35801-6495
Phone
(256) 429-5622
Fax
(256) 429-4618
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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 1-129748 AL Primary

Addresses

Primary practice location

600 Whitesport Cir SW
Huntsville, AL 35801-6495

Mailing address

3007 Memorial Pkwy SW
Huntsville, AL 35801-5393
Phone (256) 799-2500

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address betsy.osborn.1@3038.direct.athenahealth.com Health Information Exchange (HIE)

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
I20140430001462 AL Practitioner - Nurse Practitioner 0547493470 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crestwood Physician Services, LLCGroup PAC ID 3476735648, 38 clinicians
HH Health System Crestwood Physicians, LLCGroup PAC ID 8628546397, 33 clinicians

Practice addresses (Care Compare)

Huntsville, AL 35811
Phone (256) 429-5002

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 882-3100

2139 Winchester Rd NE
Suite C
Huntsville, AL 35811-9804
Phone (256) 489-9015

600 Whitesport Cir SW
Huntsville, AL 35801-6495
Phone (256) 429-5622

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.45 of 100Reported as apm
Quality
90.9
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-129748ALMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crestwood Physician Services, LLC CurrentSince Nov 1, 2022 Accepting new patients
Center for Aging Inc Past Accepting new patients

Locations

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

2139 Winchester Rd NE
Ste C
Huntsville, AL 35811
Phone (256) 489-9015

600 Whitesport Cir SW
Huntsville, AL 35801
Phone (256) 429-5622

Interoperability endpoints

  • Direct secure messaging: betsy.osborn.5@3038.direct.athenahealth.com
  • Direct secure messaging: betsy.osborn.4@3038.direct.athenahealth.com
  • Direct secure messaging: betsy.osborn.3@3038.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1821412396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 MEMORIAL PKWY SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015393",
            "telephone_number": "256-799-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WHITESPORT CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358016495",
            "telephone_number": "256-429-5622",
            "fax_number": "256-429-4618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "BETSY",
        "middle_name": "MCCULLOCH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-129748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "betsy.osborn.1@3038.direct.athenahealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Whitesport Cir SW",
            "city": "Huntsville",
            "state": "AL",
            "country_code": "US",
            "postal_code": "358016495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.