ELIZABETH WIMBERLY (CRNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1235546219

ELIZABETH WIMBERLY (CRNP) is a healthcare provider. based in Cullman, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-145721 (AL). The NPI Number for ELIZABETH WIMBERLY (CRNP) is 1235546219

Main info

Female
Sole Proprietor
Accepts Medicare Assignment
Name
ELIZABETH WIMBERLY (CRNP)
NPI
1235546219
Phone
(256) 734-4688
Address
1909 COMMERCE AVE
Enumeration Date
22 July 2014
Last Update Date
27 March 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2055121015
Graduation Year
null (2026 years ago)
PAC ID
2961748777
Group Practice PAC ID
4183925910
Professional Enrollment ID
I20190116001348
Address ID
AL355018950JA3400XEXXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ELIZABETH WIMBERLY (CRNP)

  • 1909 COMMERCE AVE

    CULLMAN, AL 350556151

    Phone: (256) 734-4688

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $30.

Total Amount is formed as General ($30) + Research ($0) + Ownership ($0) = $30.

Last reported payment date: 2024-11-11 • Largest payer in this snapshot: Indivior Inc. ($30).

Total Amount

$30

General + Research + Ownership

Payments

1

Total payment records

General Amount

$30

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-11

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Indivior Inc.$30
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: 2019-01-16

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
I20190116001348INurse 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 35055)

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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: 4183925910View full group profile
NameSpecialtyState
-AL
Psychiatry, Internal MedicineTX
Clinical Social WorkerAL
P S Y C H I A T R YAL
Nurse PractitionerAL
U R O L O G YAL
-AL

Reviews

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Frequently asked questions

Does ELIZABETH WIMBERLY (CRNP) have a public NPI I can cite?
Public records show ELIZABETH WIMBERLY (CRNP) under NPI 1235546219.
Should I treat ELIZABETH WIMBERLY (CRNP) as an active provider?
Patients and plans typically see ELIZABETH WIMBERLY (CRNP) as active in the national extract.
What services align with ELIZABETH WIMBERLY (CRNP)'s listing?
ELIZABETH WIMBERLY (CRNP)'s public classification highlights Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ELIZABETH WIMBERLY (CRNP)?
ELIZABETH WIMBERLY (CRNP) is associated with Cullman, Alabama in the same public data insurers reference.
Can I export ELIZABETH WIMBERLY (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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