Individual provider Active NPI

Autumn Bailey Wakefield, CRNP

  • Family Nurse Practitioner
  • Decatur, AL
National Provider Identifier
1861202988
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-190178 Issued in AL
Practice address
2828 Highway 31 S Ste 111
Decatur, AL 35603-1538
Phone
(256) 686-3456
NPI assigned
Jan 10, 2025
Last updated
Jan 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1-190178 AL Primary

Addresses

Primary practice location

2828 Highway 31 S Ste 111
Decatur, AL 35603-1538

Mailing address

2828 Highway 31 S Ste 111
Decatur, AL 35603-1538
Phone (256) 686-3456

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
I20250430000116 AL Practitioner - Nurse Practitioner 2264958560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whitfield Family Practice LLCGroup PAC ID 0143635375, 3 clinicians

Practice addresses (Care Compare)

2828 Hwy 31 S
Suite 111
Decatur, AL 35603-1538
Phone (256) 686-3456

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Whitfield Family Practice LLC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2828 Highway 31 S
Ste 111
Decatur, AL 35603
Phone (256) 262-6720

Interoperability endpoints

  • Direct secure messaging: autumn.wakefield.1@23322.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23322/brand/1/csg/1/fhir/r4

Organizations & group practices 1

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": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1861202988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 111",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-686-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 HIGHWAY 31 S STE 111",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031538",
            "telephone_number": "256-686-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAKEFIELD",
        "first_name": "AUTUMN",
        "middle_name": "BAILEY",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-190178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.