Individual provider Active NPI

Jennifer Overstreet, CRNP

  • Family Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1902435282
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-153155 Issued in AL
Practice address
1660 Spring Hill Ave
Mobile, AL 36604-1405
Phone
(251) 665-8000
Fax
(251) 665-8010
NPI assigned
Apr 7, 2020
Last updated
Jun 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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 1-153155 AL Primary

Addresses

Primary practice location

1660 Spring Hill Ave
Mobile, AL 36604-1405

Mailing address

PO Box 40480
Mobile, AL 36640-0480
Phone (251) 434-3626

Other practice location 1

43353 Overstreet Rd
Bay Minette, AL 36507-7649
Phone (251) 401-4521

Other names 1

  • Jennifer Dickman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200810000886 AL Practitioner - Nurse Practitioner 7517382468 Reassigns benefits to 5 organizations
I20250711001451 FL Practitioner - Nurse Practitioner 7517382468 Reassigns benefits to 1 organization

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
Gulf Coast Pain Consultants LLCGroup PAC ID 1658516570, 37 clinicians

Practice addresses (Care Compare)

3810 Hwy 90
Pace, FL 32571-1014
Phone (850) 484-4080

408 Medical Park Dr
Atmore, AL 36502-3016
Phone (855) 527-7246

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-153155ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Pain Consultants LLC CurrentSince Jun 16, 2025 Accepting new patients
Escambia County Alabama Community Hospitals Inc CurrentSince May 1, 2024 Accepting new patients
Escambia County Alabama Community Hospitals, Inc Current Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Jun 16, 2025 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2023 Accepting new patients
Bay Minette Health and Wellness LLC CurrentSince Sep 1, 2021 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Sep 1, 2023 Accepting new patients
Escambia County Alabama Community Hospitals, Inc. CurrentSince May 1, 2024 Accepting new patients
Gulf Coast Pain Consultants LLC Current Accepting new patients
Gulf Coast Pain Consultants LLC CurrentSince Jun 16, 2025 Accepting new patients
Rural Urgent Care LLC CurrentSince Jul 1, 2020 Accepting new patients
Professional Counseling Solutions, LLC PastSince Jul 20, 2021 Accepting new patients

Locations

135 Medical Park Dr
Ste 2B
Andalusia, AL 36420
Phone (850) 753-8075

402 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-7974

408 Medical Park Dr
Atmore, AL 36502
Phone (251) 368-2550

611 E Laurel St
Atmore, AL 36502
Phone (251) 368-6286

2134 Douglas Ave
Brewton, AL 36426
Phone (251) 236-4026

1925 W Main St
#120
Centre, AL 35960
Phone (256) 677-4552

416 N Seminary St
Ste 1100
Florence, AL 35630
Phone (256) 284-7280

2731 Allison Bonnett Memorial Dr
Hueytown, AL 35023
Phone (205) 548-4102

25 Bear Pkwy
Lincoln, AL 35096
Phone (205) 548-4106

6280 Grelot Rd
Mobile, AL 36609
Phone (251) 288-5606

3810 Highway 90
Pace, FL 32571
Phone (850) 476-9000

4901 Market Place Rd
Pensacola, FL 32504

5102 N Davis Hwy
Pensacola, FL 32503
Phone (850) 484-8800

1040 Gulf Breeze Pkwy
Pensacola Beach, FL 32561
Phone (850) 438-6555

201 Defense Hwy
Ste 205
Annapolis, MD 21401

Interoperability endpoints

  • Direct secure messaging: jennifer.overstreet.1@11679.direct.athenahealth.com

Organizations & group practices 14

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.

View all 14

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": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1902435282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-434-3626",
            "fax_number": "251-445-2464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 SPRING HILL AVE",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041405",
            "telephone_number": "251-665-8000",
            "fax_number": "251-665-8010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43353 Overstreet Rd",
            "address_purpose": "LOCATION",
            "city": "Bay Minette",
            "state": "AL",
            "postal_code": "365077649",
            "country_code": "US",
            "telephone_number": "251-401-4521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "JENNIFER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-07",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-153155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "DICKMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.