ALEXANDRIA GRACE LEGG (CRNP) – Family Nurse Practitioner, NPI 1174330732

ALEXANDRIA GRACE LEGG (CRNP) is a healthcare provider. based in Moulton, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-185023 (AL). The NPI Number for ALEXANDRIA GRACE LEGG (CRNP) is 1174330732

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRIA GRACE LEGG (CRNP)
NPI
1174330732
Phone
(256) 410-3544
Address
122 MEDICAL CIR
Enumeration Date
16 December 2024
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2564103544
Graduation Year
2024 (2 years ago)
PAC ID
8426587668
Group Practice PAC ID
5496830044
Professional Enrollment ID
I20250202000013
Address ID
AL356501221MO122XXCIRX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,682 NURSE PRACTITIONER in AL

Provider Addresses for ALEXANDRIA GRACE LEGG (CRNP)

  • 122 MEDICAL CIR

    MOULTON, AL 356501221

    Phone: (256) 410-3544

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-02

PECOS data refreshed: 2026-06-15

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
I20250202000013INurse 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 35650)

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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: 5496830044View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeAL

Reviews

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Frequently asked questions

What unique ID ties claims to ALEXANDRIA GRACE LEGG (CRNP)?
NPI 1174330732 is assigned to ALEXANDRIA GRACE LEGG (CRNP) under the national enumeration system.
Does this profile mean ALEXANDRIA GRACE LEGG (CRNP) is currently active?
Yes — ALEXANDRIA GRACE LEGG (CRNP) appears active in the national provider directory.
What does ALEXANDRIA GRACE LEGG (CRNP) treat or focus on?
Patients typically see ALEXANDRIA GRACE LEGG (CRNP) under the specialty Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does ALEXANDRIA GRACE LEGG (CRNP) practice in Alabama?
You will see Moulton, Alabama on file for ALEXANDRIA GRACE LEGG (CRNP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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