JANSEN WUISAN (CRNP) – Nurse Practitioner, NPI 1205477247

JANSEN WUISAN (CRNP) is a healthcare provider. based in Gardendale, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-153604 (AL). The NPI Number for JANSEN WUISAN (CRNP) is 1205477247

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
JANSEN WUISAN (CRNP)
NPI
1205477247
Phone
(205) 631-3452
Address
960 Rocket Way
Enumeration Date
1 October 2019
Last Update Date
11 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2056313452
Graduation Year
2019 (7 years ago)
PAC ID
1557795267
Group Practice PAC ID
1951213107
Professional Enrollment ID
I20200103002060
Address ID
AL350714745GA960XXWAYX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JANSEN WUISAN (CRNP)

  • 960 Rocket Way

    Gardendale, AL 350714749

    Phone: (205) 631-3452

    Type: Location

  • 405, Belcher Street, West Centreville, Centreville, Bibb County, Alabama, 35042, United States

    CENTREVILLE, AL 350422946

    Phone: (205) 926-2992

    Fax: (205) 316-7675

    Type: Mailing

  • 1308, Tuscaloosa Avenue, Berney Points, Birmingham, Jefferson County, Alabama, 35211, United States

    BIRMINGHAM, AL 352111948

    Phone: (205) 679-6325

    Fax: (205) 783-8600

    Type: Location

  • 5720 1ST AVE S

    BIRMINGHAM, AL 352122522

    Phone: (205) 380-9455

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $939.

Total Amount is formed as General ($939) + Research ($0) + Ownership ($0) = $939.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: ABBVIE INC. ($252).

Total Amount

$939

General + Research + Ownership

Payments

9

Total payment records

General Amount

$939

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

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: 2020-01-03

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
I20200103002060INurse 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 35071)

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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: 1951213107View full group profile
NameSpecialtyState
N E P H R O L O G YTX
-AL
A N E S T H E S I O L O G YAL
E N D O C R I N O L O G YVA
Nurse PractitionerAL
-AL
Hospitalist, Internal MedicineAL
Clinical PsychologistAL
Nurse PractitionerAL
-AL

Reviews

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Frequently asked questions

How is JANSEN WUISAN (CRNP) identified in CMS data?
CMS-hosted NPPES data lists JANSEN WUISAN (CRNP) with NPI 1205477247.
Is JANSEN WUISAN (CRNP) still practicing?
JANSEN WUISAN (CRNP) is currently listed as active in the public NPI registry.
What is JANSEN WUISAN (CRNP)'s primary classification?
Nurse Practitioner is the headline specialty for JANSEN WUISAN (CRNP) here. Clinical services aligned with this taxonomy classification.
Does JANSEN WUISAN (CRNP) list a practice location?
Patients near Gardendale, Alabama may find JANSEN WUISAN (CRNP) in results; validate coverage separately.
Is the information about JANSEN WUISAN (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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