TYLER KEENUM (CRNP) – Nurse Practitioner, NPI 1073041505
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for TYLER KEENUM (CRNP)
2703 7TH ST
TUSCALOOSA, AL 354011865
Phone: (205) 759-8470
Fax: (205) 366-9001
Type: Mailing
2720 6th St
Tuscaloosa, AL 354011731
Phone: (205) 759-8470
Fax: (205) 366-9001
Type: Location
850 5th Ave E
Tuscaloosa, AL 354017419
Phone: (205) 348-1770
Fax: (205) 348-7988
Type: Location
2720, 6th Street, Audubon Place, Pinehurst, Tuscaloosa, Tuscaloosa County, Alabama, 35401, United States
TUSCALOOSA, AL 354011731
Phone: (205) 759-8470
Fax: (205) 366-9001
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,696.
Total Amount is formed as General ($1,696) + Research ($0) + Ownership ($0) = $1,696.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ViiV Healthcare Company ($1,066).
Total Amount
$1,696
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,696
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ViiV Healthcare Company | $1,066 |
| Gilead Sciences, Inc. | $418 |
| Merck Sharp & Dohme LLC | $177 |
| Hologic Sales and Service, LLC | $20 |
| Janssen Biotech, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-06-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180611001070 | I | Nurse Practitioner | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care, Internal Medicine | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Mental Health Counselor | AL | |
| Nurse Practitioner | AL |
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