Individual provider Active NPI

Jessica Chapman Earnest, CRNP

  • Family Nurse Practitioner
  • Pell City, AL
National Provider Identifier
1912475658
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-155472 Issued in AL
Practice address
41 Eminence Way Ste a
Pell City, AL 35128-2338
Phone
(205) 884-9000
NPI assigned
Nov 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 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 1-155472 AL Primary

Addresses

Primary practice location

41 Eminence Way Ste a
Pell City, AL 35128-2338

Mailing address

41 Eminence Way Ste a
Pell City, AL 35128-2338
Phone (205) 884-9000

Other identifiers 1

IdentifierTypeStateIssuer
174613MedicaidAL

Other names 1

  • Jessica Kathryn Chapman 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
I20190226003037 AL Practitioner - Nurse Practitioner 8820337454 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ilinca Prisacaru, MD, PCGroup PAC ID 6204206766, 3 clinicians

Practice addresses (Care Compare)

125 Jeffrey Wilson Dr
Odenville, AL 35120-5575
Phone (205) 352-0001

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ilinca Prisacaru, MD, PC CurrentSince Oct 1, 2022 Accepting new patients
Margaret Medical Clinic LLC CurrentSince Oct 1, 2022 Accepting new patients
Rural Urgent Care LLC CurrentSince Dec 1, 2018 Accepting new patients
Rural Urgent Care LLC CurrentSince Dec 1, 2018 Accepting new patients

Locations

2508 Highway 280
Alexander City, AL 35010
Phone (205) 545-5090

1500 1st Ave N
Unit 3M135
Birmingham, AL 35203

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

1401 Highway 14
Millbrook, AL 36054
Phone (334) 310-6059

125 Jeffrey Wilson Dr
Odenville, AL 35120
Phone (205) 227-0485

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1912475658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 EMINENCE WAY STE A",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282338",
            "telephone_number": "205-884-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EMINENCE WAY STE A",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282338",
            "telephone_number": "205-884-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARNEST",
        "first_name": "JESSICA",
        "middle_name": "CHAPMAN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-12",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-155472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174613",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "CHAPMAN",
            "middle_name": "KATHRYN",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.