MR. JUSTIN KEITH COAN (CRNP) – Family Nurse Practitioner, NPI 1083612311

MR. JUSTIN KEITH COAN (CRNP) is a healthcare provider. based in Sheffield, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1079792 (AL). The NPI Number for MR. JUSTIN KEITH COAN (CRNP) is 1083612311

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JUSTIN KEITH COAN (CRNP)
NPI
1083612311
Phone
(256) 386-4680
Address
1100 S JACKSON HWY
Enumeration Date
11 July 2005
Last Update Date
9 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567661401
Graduation Year
1998 (28 years ago)
PAC ID
0749473445
Group Practice PAC ID
5294757084
Professional Enrollment ID
I20120117000371
Address ID
AL356305730FL422XXBLVD501
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MR. JUSTIN KEITH COAN (CRNP)

  • 1100, South Jackson Highway, Sheffield, Colbert County, Alabama, 35660, United States

    SUITE 150

    SHEFFIELD, AL 356605774

    Phone: (256) 386-4680

    Fax: (256) 386-4682

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $211.

Total Amount is formed as General ($211) + Research ($0) + Ownership ($0) = $211.

Last reported payment date: 2024-08-26 • Largest payer in this snapshot: Vifor Pharma, Inc. ($105).

Total Amount

$211

General + Research + Ownership

Payments

5

Total payment records

General Amount

$211

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-26

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: 2012-01-17

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
I20120117000371INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5854$0
36415Insertion of needle into vein for collection of blood sample4137$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count3736$0
80053Blood test, comprehensive group of blood chemicals3332$0
81003Automated urinalysis test3231$0
View full utilization report →

Insurance plans in this area (ZIP 35660)

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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: 5294757084View full group profile
NameSpecialtyState
Nephrology, Internal MedicineAL
Nephrology, Internal MedicineAL
Nephrology, Internal MedicineAL
Nephrology, Internal MedicineAL

Reviews

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Frequently asked questions

How do I look up MR. JUSTIN KEITH COAN (CRNP) by NPI?
Use NPI 1083612311 when you need to reference MR. JUSTIN KEITH COAN (CRNP) in forms, claims, or directories.
Is MR. JUSTIN KEITH COAN (CRNP) active in the national directory?
MR. JUSTIN KEITH COAN (CRNP)'s public NPI profile is in an active state.
What kind of provider is MR. JUSTIN KEITH COAN (CRNP)?
The page reflects Family Nurse Practitioner for MR. JUSTIN KEITH COAN (CRNP). Clinical services aligned with this taxonomy classification.
Where does public data place MR. JUSTIN KEITH COAN (CRNP)?
The snapshot lists Sheffield, Alabama for MR. JUSTIN KEITH COAN (CRNP); download NPPES for the complete set.
How can I contact MR. JUSTIN KEITH COAN (CRNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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