HEATHER PARKER (MSN, FNP-BC) – Family Medicine Physician, NPI 1316630122

HEATHER PARKER (MSN, FNP-BC) is a healthcare provider. based in Dothan, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC. They hold a License No. 1-161825 (AL). The NPI Number for HEATHER PARKER (MSN, FNP-BC) is 1316630122

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
HEATHER PARKER (MSN, FNP-BC)
NPI
1316630122
Phone
(334) 793-9564
Address
4300 W MAIN ST STE 102
Enumeration Date
29 May 2023
Last Update Date
8 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2365899895
Group Practice PAC ID
1153361225
Professional Enrollment ID
I20231106001519
Address ID
AL363051306DO4300XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for HEATHER PARKER (MSN, FNP-BC)

  • 4300 W MAIN ST STE 102

    DOTHAN, AL 363051306

    Phone: (334) 793-9564

    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 36 Open Payments records for all available years, with a total value of $695.

Total Amount is formed as General ($695) + Research ($0) + Ownership ($0) = $695.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($168).

Total Amount

$695

General + Research + Ownership

Payments

36

Total payment records

General Amount

$695

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2023-11-06

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
I20231106001519INurse 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 36305)

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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: 1153361225View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)GA
Nurse PractitionerAL
Interventional CardiologyAL
Interventional Cardiology, Cardiovascular Disease (Cardiology)AL
Nurse PractitionerAL
Interventional CardiologyAL
Interventional CardiologyAL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology)OH

Reviews

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Frequently asked questions

How do payers reference HEATHER PARKER (MSN, FNP-BC)?
For HEATHER PARKER (MSN, FNP-BC), use NPI 1316630122 as the unique 10-digit identifier.
Would HEATHER PARKER (MSN, FNP-BC) appear as active to a payer?
You can treat HEATHER PARKER (MSN, FNP-BC) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe HEATHER PARKER (MSN, FNP-BC)'s focus?
For HEATHER PARKER (MSN, FNP-BC), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is HEATHER PARKER (MSN, FNP-BC) located near Dothan?
HEATHER PARKER (MSN, FNP-BC) currently maps to Dothan, Alabama in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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