Individual provider Active NPI

Myra Bethany Lipscomb, CRNP

  • Family Nurse Practitioner
  • Gadsden, AL
National Provider Identifier
1962097527
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1-146861 Issued in AL
Practice address
1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone
(256) 393-3838
NPI assigned
Mar 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1-146861 AL Primary

Addresses

Primary practice location

1007 Goodyear Ave
Gadsden, AL 35903-1195

Mailing address

5529 6TH St
Gadsden, AL 35903-4863
Phone (256) 393-3838

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
I20220131002550 AL Practitioner - Nurse Practitioner 1153714910 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gadsden Regional Physician Group Practice LLCGroup PAC ID 1254497670, 31 clinicians

Practice addresses (Care Compare)

1007 Goodyear Ave
Gadsden, AL 35903-1195
Phone (256) 494-4000

1971 Appalachian Hwy
Hokes Bluff, AL 35903-4747
Phone (256) 492-4141

5206 US Hwy 278 E
Hokes Bluff, AL 35903-7680
Phone (256) 442-4141

Hospital & facility affiliations

  • Amedisys Home Health of Anniston Home health agency, Anniston, AL, CCN 017305
  • Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
  • Prohealth Home Health, LLC Home health agency, Huntsville, AL, CCN 017178
  • Gadsden Regional Medical Center Hospital, Gadsden, AL, CCN 010040

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as apm
Quality
75.95
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gadsden HB Medical Services LLC Single Specialty CurrentSince Jun 19, 2024 Accepting new patients
App of Alabama Ed PLLC Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Alabama Physicians Group LLC Single Specialty CurrentSince Aug 15, 2023 Accepting new patients
Gadsden Regional Physician Group Practice LLC Single Specialty CurrentSince Nov 1, 2022 Accepting new patients
Gadsden Regional Primary Care LLC Single Specialty Past Accepting new patients

Locations

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

1007 Goodyear Ave
Gadsden, AL 35903
Phone (256) 494-4000

3212 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 442-7683

2425 Highway 77
Southside, AL 35907
Phone (256) 413-7799

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1831/brand/1/csg/25/fhir/r4
  • Direct secure messaging: myra.anders.2@1831.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1614902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1962097527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5529 6TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359034863",
            "telephone_number": "256-393-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOODYEAR AVE",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359031195",
            "telephone_number": "256-393-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSCOMB",
        "first_name": "MYRA",
        "middle_name": "BETHANY",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-05",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-146861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.