RAVEN BILLUPS (CRNP) – Family Nurse Practitioner, NPI 1336808377

RAVEN BILLUPS (CRNP) is a healthcare provider. based in Fayette, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-131513 (AL). The NPI Number for RAVEN BILLUPS (CRNP) is 1336808377

Main info

Female
Sole Proprietor
5 Years Of Experience
Name
RAVEN BILLUPS (CRNP)
NPI
1336808377
Phone
(205) 932-7777
Address
122 17th Ct NE
Enumeration Date
16 December 2021
Last Update Date
8 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053301707
Graduation Year
2021 (5 years ago)
PAC ID
2961898275
Group Practice PAC ID
5193014611
Professional Enrollment ID
I20220413000046
Address ID
AL355551353FA122XXNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for RAVEN BILLUPS (CRNP)

  • 122 17th Ct NE

    Fayette, AL 355551353

    Phone: (205) 932-7777

    Type: Location

  • 3909 MCFARLAND BLVD

    NORTHPORT, AL 354762838

    Phone: (205) 330-1707

    Type: Mailing

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: 2022-04-13

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
I20220413000046INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg92883$0
J0696Injection, ceftriaxone sodium, per 250 mg844150$0
96372Injection of drug or substance under skin or into muscle343163$0
99214Established patient office or other outpatient visit, 30-39 minutes283192$0
87804Detection test by immunoassay with direct visual observation for influenza virus14870$0
View full utilization report →

Insurance plans in this area (ZIP 35555)

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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: 5193014611View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
-AL
Family PracticeAL

Reviews

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Frequently asked questions

How is RAVEN BILLUPS (CRNP) identified in CMS data?
CMS-hosted NPPES data lists RAVEN BILLUPS (CRNP) with NPI 1336808377.
Can I rely on RAVEN BILLUPS (CRNP) being an active provider?
As of the registry snapshot, RAVEN BILLUPS (CRNP) is marked active.
What is RAVEN BILLUPS (CRNP)'s specialty?
The listing groups RAVEN BILLUPS (CRNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where should I expect RAVEN BILLUPS (CRNP) on a map?
Expect Fayette, Alabama as a primary anchor for RAVEN BILLUPS (CRNP) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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