Individual provider Active NPI

Kristy Wilbanks Faust

  • Family Nurse Practitioner
  • Montgomery, AL
National Provider Identifier
1982297628
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F01210425 Issued in AL
Practice address
488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone
(334) 288-7808
NPI assigned
Feb 13, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 F01210425 AL Primary

Addresses

Primary practice location

488 Saint Lukes Dr
Montgomery, AL 36117-7104

Mailing address

1724 Honeysuckle Ridge Dr
Deatsville, AL 36022-2686
Phone (334) 652-9098

Other practice location 1

400 Taylor Rd # Mob2
Montgomery, AL 36117-3511
Phone (334) 747-8448

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
I20210422000068 AL Practitioner - Nurse Practitioner 7810305398 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Services of Montgomery PCGroup PAC ID 6608028204, 61 clinicians
The Center for Pain of Montgomery LLCGroup PAC ID 3678473972, 50 clinicians

Practice addresses (Care Compare)

400 Taylor Rd
Montgomery, AL 36117-3512
Phone (334) 277-8330

488 Saint Lukes Dr
Montgomery, AL 36117-7104
Phone (334) 288-7808

Hospital & facility affiliations

  • Jackson Hospital & Clinic Inc Hospital, Montgomery, AL, CCN 010024
  • Prattville Baptist Hospital Hospital, Prattville, AL, CCN 010108
  • Baptist Medical Center East Hospital, Montgomery, AL, CCN 010149
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

Merit-based Incentive Payment System (MIPS)

Final score
84.18 of 100Reported as group
Quality
75.76
Promoting interoperability
98
Improvement activities
40
Cost
73.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F01210425ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Center for Pain of Montgomery LLC CurrentSince Feb 20, 2023 Accepting new patients
The Center for Pain of Montgomery LLC CurrentSince Feb 20, 2023 Accepting new patients
Emergency Services of Montgomery PC CurrentSince May 1, 2021 Accepting new patients
Paragon Contracting Services LLC CurrentSince Jun 14, 2021 Accepting new patients

Locations

1022 1st St N
Ste 305
Alabaster, AL 35007
Phone (205) 620-8676

810 Saint Vincents Dr
Birmingham, AL 35205
Phone (205) 930-2456

104 Medical Dr
Dothan, AL 36303
Phone (334) 671-9445

520 John D Odom Rd
Dothan, AL 36303
Phone (334) 500-3511

855 Downtowner Blvd
Mobile, AL 36609

400 Taylor Rd
#2
Montgomery, AL 36117
Phone (334) 747-8448

448 Saint Lukes Dr
Montgomery, AL 36117

432 Saint Lukes Dr
Montgomery, AL 36117
Phone (334) 239-4498

2065 E South Blvd
Ste 401
Montgomery, AL 36116

400 Taylor Rd
Montgomery, AL 36117
Phone (334) 213-6287

2101 Chestnut St
Montgomery, AL 36106
Phone (334) 265-9225

2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842

488 Saint Lukes Dr
Montgomery, AL 36117
Phone (256) 496-2635

3320 Skyway Dr
Ste 701
Opelika, AL 36801
Phone (334) 826-5577

124 S Memorial Dr
Prattville, AL 36067
Phone (334) 361-4267

660 McQueen Smith Rd N
Ste E
Prattville, AL 36066
Phone (334) 288-2808

13285 US Highway 231
Troy, AL 36081

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Interoperability endpoints

  • Direct secure messaging: kristy.faust.1@11679.direct.athenahealth.com

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.

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": "1613174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1982297628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 HONEYSUCKLE RIDGE DR",
            "city": "DEATSVILLE",
            "state": "AL",
            "postal_code": "360222686",
            "telephone_number": "334-652-9098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 SAINT LUKES DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361177104",
            "telephone_number": "334-288-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Taylor Rd # Mob2",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361173511",
            "country_code": "US",
            "telephone_number": "334-747-8448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUST",
        "first_name": "KRISTY",
        "middle_name": "WILBANKS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-13",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F01210425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, AL

Sources for this page

Verify at the official NPI Registry.