ANGELA NICOLE HERNDON (CRNP) – Family Nurse Practitioner, NPI 1316327638

ANGELA NICOLE HERNDON (CRNP) is a healthcare provider. based in Tuscaloosa, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-130873 (AL). The NPI Number for ANGELA NICOLE HERNDON (CRNP) is 1316327638

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
ANGELA NICOLE HERNDON (CRNP)
NPI
1316327638
Phone
(205) 759-2582
Address
1100 RUBY TYLER PKWY
Enumeration Date
2 June 2015
Last Update Date
2 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053432225
Graduation Year
2015 (11 years ago)
PAC ID
1254769375
Group Practice PAC ID
6305813221
Professional Enrollment ID
I20200323002948
Address ID
AL354053698TU5005XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ANGELA NICOLE HERNDON (CRNP)

  • 1100 RUBY TYLER PKWY

    TUSCALOOSA, AL 354042959

    Phone: (205) 759-2582

    Fax: (205) 759-2985

    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 25 Open Payments records for all available years, with a total value of $743.

Total Amount is formed as General ($743) + Research ($0) + Ownership ($0) = $743.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: ViiV Healthcare Company ($344).

Total Amount

$743

General + Research + Ownership

Payments

25

Total payment records

General Amount

$743

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

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: 2020-03-23

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
I20200323002948INurse 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 35404)

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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: 6305813221View full group profile
NameSpecialtyState
Physician AssistantAL
Nurse PractitionerAL
Nurse PractitionerAL
Physician AssistantVA
-AL
Nurse PractitionerAL
Family PracticeAL
Family PracticeAL
Family PracticeAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What identifier follows ANGELA NICOLE HERNDON (CRNP) across health systems?
The NPI 1316327638 uniquely identifies ANGELA NICOLE HERNDON (CRNP) in U.S. healthcare data.
Is ANGELA NICOLE HERNDON (CRNP)'s NPI status active today?
Active status means ANGELA NICOLE HERNDON (CRNP)'s NPI record is not deactivated in the public file.
What type of care does ANGELA NICOLE HERNDON (CRNP) provide?
ANGELA NICOLE HERNDON (CRNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Can patients visit ANGELA NICOLE HERNDON (CRNP) in Tuscaloosa, Alabama?
For routing, start with Tuscaloosa, Alabama for ANGELA NICOLE HERNDON (CRNP), then verify phone and hours locally.
Can I export ANGELA NICOLE HERNDON (CRNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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