JUSTIN CHASE FORD (CRNP) – Acute Care Nurse Practitioner, NPI 1164971404
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for JUSTIN CHASE FORD (CRNP)
300 MEDICAL CENTER DR STE 303
GADSDEN, AL 359031136
Phone: (256) 458-0899
Type: Mailing
300 Medical Center Dr Ste 303
Gadsden, AL 359031136
Phone: (256) 458-0899
Type: Location
2525 US Highway 431 Ste 270
Boaz, AL 359575934
Phone: (256) 485-0899
Fax: (866) 265-9563
Type: Location
2001 Cades Ave SW
Fort Payne, AL 359683554
Phone: (256) 485-0899
Fax: (866) 265-9563
Type: Location
70 Plaza Dr
Pell City, AL 351259314
Phone: (256) 485-0899
Fax: (866) 265-9563
Type: Location
2055 E South Blvd Ste 708
Montgomery, AL 361162014
Phone: (334) 457-7212
Fax: (866) 265-9563
Type: Location
7938 Al Highway 69 Ste 360
Guntersville, AL 359767177
Phone: (256) 485-0899
Fax: (866) 265-9563
Type: Location
1026 GOODYEAR AVE STE 302B
GADSDEN, AL 359031194
Phone: (256) 458-0899
Fax: (866) 265-9563
Type: Location
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 $39.
Total Amount is formed as General ($39) + Research ($0) + Ownership ($0) = $39.
Last reported payment date: 2024-08-13 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($23).
Total Amount
$39
General + Research + Ownership
Payments
2
Total payment records
General Amount
$39
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $23 |
| Baxter Healthcare | $16 |
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: 2017-01-19
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 |
|---|---|---|---|---|
| I20170119000575 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 60 | 22 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 57 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 49 | 31 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 44 | 33 | $0 |
| 99491 | Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month | 19 | 17 | $0 |
Insurance plans in this area (ZIP 35903)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Critical Care (Intensivists), Internal Medicine, Nephrology | NY | |
| Nephrology, Internal Medicine | AL | |
| Internal Medicine | FL | |
| N E P H R O L O G Y | AL | |
| Internal Medicine | NY | |
| Nephrology, Internal Medicine | AL | |
| Obstetrics/Gynecology, General Practice | AL | |
| Nurse Practitioner | AL |
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