KENNETH ELISHA CONN (CRNP) – Family Nurse Practitioner, NPI 1336459437
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for KENNETH ELISHA CONN (CRNP)
13365 AL HIGHWAY 9
PIEDMONT, AL 362727723
Phone: (256) 435-5394
Type: Mailing
400 E 10TH ST
ANNISTON, AL 362074716
Phone: (256) 235-5211
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-03-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20101207001128 | I | Nurse Practitioner | AL | TBD |
| I20220331002121 | I | Nurse Practitioner | GA | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 53 | 53 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 44 | 44 | $0 |
Insurance plans in this area (ZIP 36272)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | IA | |
| Internal Medicine | GA | |
| Nurse Practitioner | AL | |
| Emergency Medicine, Family Practice | OH | |
| Family Practice | GA | |
| H O S P I T A L I S T | GA | |
| Emergency Medicine | TX | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA |
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