KRISTY L ODEN (CRNP) – Family Nurse Practitioner, NPI 1073623013

KRISTY L ODEN (CRNP) is a healthcare provider. based in Birmingham, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-094352 (AL). The NPI Number for KRISTY L ODEN (CRNP) is 1073623013

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
KRISTY L ODEN (CRNP)
NPI
1073623013
Phone
Not provided
Address
PO BOX 11407, DEPT# 5839
Enumeration Date
30 August 2006
Last Update Date
21 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2563861125
Graduation Year
2003 (23 years ago)
PAC ID
0648290221
Group Practice PAC ID
9335676402
Professional Enrollment ID
I20051128000668
Address ID
AL356605770SH1120XHWYX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for KRISTY L ODEN (CRNP)

  • PO BOX 11407, DEPT# 5839

    BIRMINGHAM, AL 352460001

    Phone:

    Type: Mailing

  • 1120 S JACKSON HWY STE 105

    SHEFFIELD, AL 356605770

    Phone: (256) 386-1125

    Fax: (888) 745-7084

    Type: Location

  • 104, Physicians Drive, Muscle Shoals, Colbert County, Alabama, 35661, United States

    SUITE A

    MUSCLE SHOALS, AL 356612100

    Phone: (256) 314-1010

    Fax: (256) 314-0005

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-09-26 • Largest payer in this snapshot: Northgate Technologies, Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-11-28

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051128000668INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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 35246)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335676402View full group profile
NameSpecialtyState
Nurse PractitionerAL
N E U R O L O G YPR
O B S T E T R I C S/ G Y N E C O L O G YVA
Nurse PractitionerAL
General SurgeryFL
General SurgeryAL
U R O L O G YAL
U R O L O G YAL
O T O L A R Y N G O L O G YAL
O B S T E T R I C S/ G Y N E C O L O G YAL

Reviews

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Frequently asked questions

Can I use this page to confirm KRISTY L ODEN (CRNP)'s NPI?
Yes. KRISTY L ODEN (CRNP) is listed with NPI 1073623013 in the public NPI dataset.
Does CMS list KRISTY L ODEN (CRNP) as active?
Yes — KRISTY L ODEN (CRNP) is active in the NPI listing used on this page.
What is KRISTY L ODEN (CRNP)'s specialty?
The listing groups KRISTY L ODEN (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect KRISTY L ODEN (CRNP) on a map?
Expect Birmingham, Alabama as a primary anchor for KRISTY L ODEN (CRNP) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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