Individual provider Active NPI

Heather Pope Setterstrom, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1851923064
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1-145712 Issued in AL
Practice address
3610 Springhill Memorial Dr N
Mobile, AL 36608-1162
Phone
(251) 410-3600
NPI assigned
Feb 5, 2020
Last updated
Feb 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-145712 AL Primary

Addresses

Primary practice location

3610 Springhill Memorial Dr N
Mobile, AL 36608-1162

Mailing address

105 Macy PL
Mobile, AL 36604-1251

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
I20200702001378 AL Practitioner - Nurse Practitioner 2961825336 Reassigns benefits to 2 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

Practice addresses (Care Compare)

1720 Spring Hill Ave
Suite 3
Mobile, AL 36604-1410
Phone (251) 435-2663

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Orthopaedic Alliance PLLC CurrentSince Oct 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jul 12, 2021 Accepting new patients
Southern Orthopaedic Alliance, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Imc -Gulf Orthopaedics LLC CurrentSince Jul 12, 2021 Accepting new patients
Coastal Anesthesia, P.C. Past Accepting new patients

Locations

341 Greeno Rd N
Fairhope, AL 36532
Phone (251) 210-1320

1700 Spring Hill Ave
Mobile, AL 36604
Phone (251) 435-6850

1720 Spring Hill Ave
Fl 3
Mobile, AL 36604
Phone (251) 435-1164

1720 Spring Hill Ave
Ste 3
Mobile, AL 36604

1720 Spring Hill Ave
Ste 301
Mobile, AL 36604

831 Hillcrest Rd
Mobile, AL 36695
Phone (251) 633-4949

831 Hillcrest Rd
Ste C
Mobile, AL 36695
Phone (251) 633-4949

Interoperability endpoints

  • Direct secure messaging: hsetterstrom87347@directinfirmaryhealth.org

Organizations & group practices 5

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 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": "1580860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1851923064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MACY PL",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3610 SPRINGHILL MEMORIAL DR N",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081162",
            "telephone_number": "251-410-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETTERSTROM",
        "first_name": "HEATHER",
        "middle_name": "POPE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-05",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-145712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.