EBONI HART (CRNP) – Family Nurse Practitioner, NPI 1205398633

EBONI HART (CRNP) is a healthcare provider. based in Florence, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-129502 (AL). The NPI Number for EBONI HART (CRNP) is 1205398633

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
EBONI HART (CRNP)
NPI
1205398633
Phone
Not provided
Address
215 PINE BROOK DR
Enumeration Date
4 April 2019
Last Update Date
28 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562600400
Graduation Year
2018 (8 years ago)
PAC ID
2062746084
Group Practice PAC ID
3375958853
Professional Enrollment ID
I20190625003967
Address ID
AL356035476DE200XXLNXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for EBONI HART (CRNP)

  • 215 PINE BROOK DR

    FLORENCE, AL 356331139

    Phone:

    Type: Mailing

  • 600, Sun Temple Drive, Madison, Madison County, Alabama, 35758, United States

    MADISON, AL 357588643

    Phone: (256) 325-2627

    Type: Location

  • 102 PHYSICIANS DR STE A

    MUSCLE SHOALS, AL 356612149

    Phone: (256) 286-4026

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $191.

Total Amount is formed as General ($191) + Research ($0) + Ownership ($0) = $191.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Lilly USA, LLC ($39).

Total Amount

$191

General + Research + Ownership

Payments

10

Total payment records

General Amount

$191

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2019-06-25

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
I20190625003967INurse 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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes553161$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes346122$0
90792Psychiatric diagnostic evaluation with medical services140139$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9353$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes3913$0
View full utilization report →

Insurance plans in this area (ZIP 35633)

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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: 3375958853View full group profile
NameSpecialtyState
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL
Nurse PractitionerAL
Mental Health CounselorAL
Nurse PractitionerAL
Nurse PractitionerAL
Clinical Social WorkerAL
Nurse PractitionerAL
Mental Health CounselorAL

Reviews

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Frequently asked questions

What is the 10-digit NPI for EBONI HART (CRNP)?
EBONI HART (CRNP) — NPI 1205398633 — is the standard way to identify this listing.
Is EBONI HART (CRNP) listed as active for patients and plans?
The listing shows EBONI HART (CRNP) as active in the NPI system.
What is EBONI HART (CRNP)'s specialty?
The listing groups EBONI HART (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does EBONI HART (CRNP) serve?
EBONI HART (CRNP)'s listing highlights Florence, Alabama; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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