MARY KATHRYN KONRAD CHESTANG (CRNP) – Acute Care Nurse Practitioner, NPI 1205463338

MARY KATHRYN KONRAD CHESTANG (CRNP) is a healthcare provider. based in Mobile, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-158663 (AL). The NPI Number for MARY KATHRYN KONRAD CHESTANG (CRNP) is 1205463338

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
MARY KATHRYN KONRAD CHESTANG (CRNP)
NPI
1205463338
Phone
(251) 422-3001
Address
4009 OLD SHELL RD APT D8
Enumeration Date
26 March 2020
Last Update Date
25 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2059339258
Graduation Year
2019 (7 years ago)
PAC ID
1456782838
Group Practice PAC ID
1355616400
Professional Enrollment ID
I20200519002776
Address ID
AL352051625BI2660XSXXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness85
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MARY KATHRYN KONRAD CHESTANG (CRNP)

  • 4009 OLD SHELL RD APT D8

    MOBILE, AL 366081382

    Phone: (251) 422-3001

    Type: Mailing

  • 1802 6TH AVE S

    BIRMINGHAM, AL 352331932

    Phone: (205) 934-4206

    Type: Location

  • 800 SAINT VINCENTS DR STE 600

    BIRMINGHAM, AL 352051630

    Phone: (205) 933-9258

    Type: Mailing

  • 2660 10TH AVE S STE 528

    BIRMINGHAM, AL 352051625

    Phone: (205) 933-9258

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 188 Open Payments records for all available years, with a total value of $4,181.

Total Amount is formed as General ($4,181) + Research ($0) + Ownership ($0) = $4,181.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($864).

Total Amount

$4,181

General + Research + Ownership

Payments

188

Total payment records

General Amount

$4,181

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

Latest reported date

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: 2020-05-19

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
I20200519002776INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes6653$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
99205New patient office or other outpatient visit, 60-74 minutes1212$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 36608)

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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: 1355616400View full group profile
NameSpecialtyState
Nurse PractitionerAL
Pulmonary DiseaseAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Internal MedicineTN
Pulmonary DiseaseAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Is there an official ID for MARY KATHRYN KONRAD CHESTANG (CRNP) in U.S. healthcare records?
The official identifier for MARY KATHRYN KONRAD CHESTANG (CRNP) is NPI 1205463338.
Would MARY KATHRYN KONRAD CHESTANG (CRNP) appear as active to a payer?
You can treat MARY KATHRYN KONRAD CHESTANG (CRNP) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with MARY KATHRYN KONRAD CHESTANG (CRNP)?
MARY KATHRYN KONRAD CHESTANG (CRNP)'s record emphasizes Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with MARY KATHRYN KONRAD CHESTANG (CRNP)?
Directory geography for MARY KATHRYN KONRAD CHESTANG (CRNP) centers on Mobile, Alabama.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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