MR. JOHN PAUL MIZELLE (CRNP) – Family Nurse Practitioner, NPI 1174099279
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 MR. JOHN PAUL MIZELLE (CRNP)
4534 BLAIRMONT DR SE
OWENS CROSS ROADS, AL 357638013
Phone: (256) 679-7438
Type: Mailing
2017, Obrig Avenue, Mill Village, Guntersville, Marshall County, Alabama, 35976, United States
GUNTERSVILLE, AL 359762156
Phone: (256) 582-2324
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 190 Open Payments records for all available years, with a total value of $3,857.
Total Amount is formed as General ($3,857) + Research ($0) + Ownership ($0) = $3,857.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($1,030).
Total Amount
$3,857
General + Research + Ownership
Payments
190
Total payment records
General Amount
$3,857
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
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,030 |
| AstraZeneca Pharmaceuticals LP | $723 |
| GlaxoSmithKline, LLC. | $573 |
| Phathom Pharmaceuticals, Inc. | $156 |
| ITI, Inc. | $145 |
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: 2019-01-18
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 |
|---|---|---|---|---|
| I20190118002655 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35763)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Family Practice, General Practice | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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