Stephanie T Williams, CRNP – Nurse Practitioner

Key facts

NPI: 1992079800
Entity type: Individual (NPI type 1)
Primary specialty: Nurse Practitioner 363L00000X
License: 1-120329 (AL)
Practice address: 1800 Al Highway 157
Cullman, AL 35058-1271
Phone: (256) 736-1615
NPI assigned: Feb 24, 2012
Sex: Female
Sole proprietor: No

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.

After Hours Clinic Inc Family Medicine Physician · Jasper, AL · NPI 1215958103

Medicare reassignment Care Compare group NPD AL
After Hours Clinic Inc Sumiton Family Medicine Physician · Sumiton, AL · NPI 1932304292

Medicare reassignment NPD AL
Healthcare Plus Limited Liability Company Specialist · Metairie, LA · NPI 1063927465

Medicare reassignment AL
Wound Management Specialists, LLC Nurse Practitioner · Flowood, MS · NPI 1972150084

Medicare reassignment AL
Crestwood Physician Services, LLC Family Medicine Physician · Huntsville, AL · NPI 1154622520

NPD (past)

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2012
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: After Hours Clinic Inc (8 clinicians)

Practice addresses (Care Compare)

1800 Birmingham Ave
Jasper, AL 35501-5461
Phone (205) 384-4585

Medicare participation

Medicare fee-for-service enrollment: Enrolled in AL
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20120607000282	AL	Practitioner - Nurse Practitioner	7113181942	Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
1-120329	AL	MD	Nurse Practitioner

Practice roles

Organization	Status	New patients
After Hours Clinic Inc Sumiton	Current since Mar 10, 2017	Accepting new patients
After Hours Clinic Inc	Current since Mar 10, 2017	Accepting new patients
Crestwood Physician Services, LLC	Past since Oct 1, 2011	Accepting new patients

Locations

1800 Birmingham Ave
Jasper, AL 35501
Phone (205) 384-4585

385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240

Interoperability endpoints

FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Nurse Practitioner	363L00000X	1-120329	AL	Yes

Addresses

Primary practice location

1800 Al Highway 157
Cullman, AL 35058-1271

Mailing address

1800 Al Highway 157
Cullman, AL 35058-1271
Phone (256) 736-1615

Other providers in Cullman, AL

Kayla Nanice Williams, NURSE PRACTITIONER
Rebecca L Williams, CRNP
Richard Williams
Robert H Williams, M.D.
Sonja Gayle Williams, DO
Tessa Williams
Howard F. Williamson Jr., MD
Paige B Williamson
Sarisa Willoughby, M.A., BCBA, LBA
Willow Tree Pediatrics PC

All providers in Cullman, AL · Nurse Practitioner in Alabama

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2014. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.