BRENT MORTENSEN (CRNP) – Acute Care Nurse Practitioner, NPI 1316308307
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for BRENT MORTENSEN (CRNP)
1635 Highway 31 NW Ste C
Hartselle, AL 356404482
Phone: (256) 735-5900
Fax: (256) 417-4719
Type: Location
300 Hospital St
Moulton, AL 356501268
Phone: (731) 394-1145
Type: Location
PO BOX 2895
CULLMAN, AL 350562895
Phone: (256) 735-5071
Fax: (256) 801-7626
Type: Mailing
1938 AL HIGHWAY 157 STE 101
CULLMAN, AL 350581819
Phone: (256) 739-4030
Type: Location
7105B BAILEY CREEK CIR SE
HUNTSVILLE, AL 358022797
Phone: (256) 882-7469
Fax: (256) 425-0046
Type: Location
1011, Kennesaw Drive Southeast, Woodridge, Huntsville, Madison County, Alabama, 35803, United States
HUNTSVILLE, AL 358032317
Phone: (205) 767-2944
Type: Mailing
234 COUNTY ROAD 1408
CULLMAN, AL 350580539
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $254.
Total Amount is formed as General ($254) + Research ($0) + Ownership ($0) = $254.
Last reported payment date: 2024-10-23 • Largest payer in this snapshot: SANOFI-AVENTIS U.S. LLC ($60).
Total Amount
$254
General + Research + Ownership
Payments
11
Total payment records
General Amount
$254
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-23
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2016-05-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160504002347 | I | Nurse Practitioner | AL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 32 | $0 |
| 20611 | Aspiration and/or injection of fluid large joint using ultrasound guidance | 18 | 15 | $0 |
| 27447 | Replacement of knee joint, both sides of knee | 16 | 16 | $0 |
Insurance plans in this area (ZIP 35640)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | TN | |
| - | KY | |
| Nurse Practitioner | TN | |
| Family Practice | TN | |
| - | NM | |
| Nurse Practitioner | TN | |
| - | KY | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | AZ | |
| Nurse Practitioner | GA |
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