SARAH ELIZABETH DALVINE (CRNP) – Nurse Practitioner, NPI 1174039002

SARAH ELIZABETH DALVINE (CRNP) is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-1335596 (AL). The NPI Number for SARAH ELIZABETH DALVINE (CRNP) is 1174039002

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
SARAH ELIZABETH DALVINE (CRNP)
NPI
1174039002
Phone
(334) 793-8111
Address
1108 Ross Clark Cir
Enumeration Date
14 December 2017
Last Update Date
25 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057598470
Graduation Year
2016 (10 years ago)
PAC ID
8527314939
Group Practice PAC ID
7517212376
Professional Enrollment ID
I20180627001231
Address ID
AL354011865TU2703XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for SARAH ELIZABETH DALVINE (CRNP)

  • 1108 Ross Clark Cir

    Dothan, AL 363013022

    Phone: (334) 793-8111

    Type: Location

  • 1891 HONEYSUCKLE RD STE 2

    DOTHAN, AL 363054291

    Phone: (334) 673-0494

    Fax: (334) 678-7225

    Type: Location

  • Southeast Health Campus, 1108, Ross Clark Circle, Morris Heights, Dothan, Houston County, Alabama, 36301, United States

    DOTHAN, AL 363013022

    Phone: (334) 793-8111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $840.

Total Amount is formed as General ($840) + Research ($0) + Ownership ($0) = $840.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ViiV Healthcare Company ($509).

Total Amount

$840

General + Research + Ownership

Payments

36

Total payment records

General Amount

$840

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2018-06-27

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
I20180627001231INurse 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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes194100$0
99221Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes181169$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes5352$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5241$0
View full utilization report →

Insurance plans in this area (ZIP 36301)

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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: 7517212376View full group profile
NameSpecialtyState
Hospice/Palliative Care, Internal MedicineAL
Nurse PractitionerAL
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerMS
Nurse PractitionerAL
Mental Health CounselorAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do payers reference SARAH ELIZABETH DALVINE (CRNP)?
For SARAH ELIZABETH DALVINE (CRNP), use NPI 1174039002 as the unique 10-digit identifier.
Active or inactive — what applies to SARAH ELIZABETH DALVINE (CRNP)?
You should see SARAH ELIZABETH DALVINE (CRNP) as active in CMS-hosted NPPES data.
What expertise is attributed to SARAH ELIZABETH DALVINE (CRNP)?
SARAH ELIZABETH DALVINE (CRNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SARAH ELIZABETH DALVINE (CRNP) located near Dothan?
SARAH ELIZABETH DALVINE (CRNP) currently maps to Dothan, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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