LYNDA ODEN LARUE (CRNP) – Family Nurse Practitioner, NPI 1164949954

LYNDA ODEN LARUE (CRNP) is a healthcare provider. based in Oneonta, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1050053 (AL). The NPI Number for LYNDA ODEN LARUE (CRNP) is 1164949954

Main info

Female
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
LYNDA ODEN LARUE (CRNP)
NPI
1164949954
Phone
(205) 274-8198
Address
150 GILBREATH DR STE 201
Enumeration Date
23 August 2017
Last Update Date
5 April 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2052743010
Graduation Year
2017 (9 years ago)
PAC ID
7416941547
Group Practice PAC ID
0547171662
Professional Enrollment ID
I20171213002258
Address ID
AL351212827ON150XXDRXX303
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for LYNDA ODEN LARUE (CRNP)

  • Gilbreath Drive, Oneonta, Blount County, Alabama, 35013, United States

    ONEONTA, AL 351212827

    Phone: (205) 274-8198

    Type: Location

  • 370 BULLARD RD

    BLOUNTSVILLE, AL 350313651

    Phone: (205) 288-1913

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $37.

Total Amount is formed as General ($37) + Research ($0) + Ownership ($0) = $37.

Last reported payment date: 2023-10-31 • Largest payer in this snapshot: iRhythm Technologies, Inc. ($37).

Total Amount

$37

General + Research + Ownership

Payments

2

Total payment records

General Amount

$37

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-31

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: 2017-12-13

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
I20171213002258INurse 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 35121)

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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: 0547171662View full group profile
NameSpecialtyState
Internal MedicineAL
Family PracticeAL
Family PracticeAL
Family PracticeAL
Family PracticeAL

Reviews

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Frequently asked questions

How is LYNDA ODEN LARUE (CRNP) identified in CMS data?
CMS-hosted NPPES data lists LYNDA ODEN LARUE (CRNP) with NPI 1164949954.
Is LYNDA ODEN LARUE (CRNP) still practicing?
LYNDA ODEN LARUE (CRNP) is currently listed as active in the public NPI registry.
What is LYNDA ODEN LARUE (CRNP) best known for clinically?
Directory data describes LYNDA ODEN LARUE (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for LYNDA ODEN LARUE (CRNP)?
LYNDA ODEN LARUE (CRNP)'s geographic hint is Oneonta, Alabama in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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