MRS. CRYSTAL GAYLE SELF (CRNP) – Family Nurse Practitioner, NPI 1164984035
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
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Provider Addresses for MRS. CRYSTAL GAYLE SELF (CRNP)
8434 WADE RD
WARRIOR, AL 351803064
Phone: (205) 543-6251
Type: Mailing
Saint Vincent's Birmingham, 810, Saint Vincent's Drive, Highland Avenue Historic District, Highland Residence Park, Birmingham, Jefferson County, Alabama, 35205, United States
BIRMINGHAM, AL 352051601
Phone: (205) 838-3130
Type: Location
2700 10TH AVE S STE 444
BIRMINGHAM, AL 352051250
Phone: (205) 723-0088
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $443.
Total Amount is formed as General ($443) + Research ($0) + Ownership ($0) = $443.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Boston Scientific Corporation ($311).
Total Amount
$443
General + Research + Ownership
Payments
25
Total payment records
General Amount
$443
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-03-01
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 |
|---|---|---|---|---|
| I20210301002264 | 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 |
|---|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 41 | 13 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 19 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 22 | 22 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 18 | 15 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 15 | 14 | $0 |
Insurance plans in this area (ZIP 35180)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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