ELISABETH ANNE OWEN (CRNP) – Adult Health Nurse Practitioner, NPI 1417589474

ELISABETH ANNE OWEN (CRNP) is a healthcare provider. based in Huntsville, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-123103 (AL). The NPI Number for ELISABETH ANNE OWEN (CRNP) is 1417589474

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
ELISABETH ANNE OWEN (CRNP)
NPI
1417589474
Phone
(256) 759-0182
Address
1122 INDIAN CREEK RD NW
Enumeration Date
7 February 2020
Last Update Date
2 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2019 (7 years ago)
PAC ID
8426486648
Group Practice PAC ID
0749266237
Professional Enrollment ID
I20200320001660
Address ID
AL358014310Hu810XXAXXX500
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ELISABETH ANNE OWEN (CRNP)

  • 1122 INDIAN CREEK RD NW

    HUNTSVILLE, AL 358061108

    Phone: (256) 759-0182

    Type: Mailing

  • 810 FRANKLIN ST SE STE A

    HUNTSVILLE, AL 358014310

    Phone: (256) 533-7676

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 151 Open Payments records for all available years, with a total value of $3,224.

Total Amount is formed as General ($3,224) + Research ($0) + Ownership ($0) = $3,224.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($826).

Total Amount

$3,224

General + Research + Ownership

Payments

151

Total payment records

General Amount

$3,224

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2020-03-20

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
I20200320001660INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes8377$0
View full utilization report →

Insurance plans in this area (ZIP 35806)

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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: 0749266237View full group profile
NameSpecialtyState
N E P H R O L O G YAL
N E P H R O L O G YAL
N E P H R O L O G YNY
Nurse PractitionerAL
Nephrology, Internal MedicinePA
Nurse PractitionerAL
Nurse PractitionerLA
N E P H R O L O G YAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for ELISABETH ANNE OWEN (CRNP)?
Save NPI 1417589474 if you need a stable reference for ELISABETH ANNE OWEN (CRNP).
Is ELISABETH ANNE OWEN (CRNP) currently active in the NPI registry?
CMS-published data lists ELISABETH ANNE OWEN (CRNP) as an active registrant.
Can you summarize ELISABETH ANNE OWEN (CRNP)'s specialty in plain language?
Clinically, the directory lists ELISABETH ANNE OWEN (CRNP) with Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is ELISABETH ANNE OWEN (CRNP)'s primary listing?
We display Huntsville, Alabama because that is what the record indicates for ELISABETH ANNE OWEN (CRNP).
What if Huntsville, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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