Individual provider Active NPI

Deanna M Clemons, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
National Provider Identifier
1992748891
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
1-082122 Issued in AL
Practice address
4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678
Phone
(256) 880-1050
Fax
(256) 880-7477
NPI assigned
Jun 14, 2006
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1-082122 AL
Acute Care Nurse Practitioner 363LA2100X 1-082122 AL Primary

Addresses

Primary practice location

4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678

Mailing address

4601 Whitesburg Dr SE Ste 201
Huntsville, AL 35802-1678
Phone (256) 880-1050

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
I20040512001292 AL Practitioner - Nurse Practitioner 5597755645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huntsville Cardiovascular Clinic, P. C.Group PAC ID 3476546003, 17 clinicians

Practice addresses (Care Compare)

4601 Whitesburg Dr SE
Suite 201
Huntsville, AL 35802-1678
Phone (256) 880-1050

Merit-based Incentive Payment System (MIPS)

Final score
78.58 of 100Reported as group
Quality
64.47
Improvement activities
40
Cost
75.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1-082122ALMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Huntsville Cardiovascular Clinic, P.C. Nurse Practitioner PastSince Oct 23, 2017 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1992748891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021678",
            "telephone_number": "256-880-1050",
            "fax_number": "256-880-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 WHITESBURG DR SE STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358021678",
            "telephone_number": "256-880-1050",
            "fax_number": "256-880-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMONS",
        "first_name": "DEANNA",
        "middle_name": "M",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-082122",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "AL",
            "license": "1-082122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.