KATHLEEN BLAIR PARKS (CRNP) – Nurse Practitioner, NPI 1457625097
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for KATHLEEN BLAIR PARKS (CRNP)
1711 N MCKENZIE ST STE 102
FOLEY, AL 365352282
Phone: (251) 949-3479
Fax: (251) 949-3434
Type: Mailing
PO BOX 689022
FRANKLIN, TN 370689022
Phone: (251) 949-3711
Fax: (251) 949-3715
Type: Mailing
1711 N McKenzie St Ste 102
Foley, AL 365352282
Phone: (251) 952-6653
Fax: (251) 952-6651
Type: Location
PO Box 689022
Franklin, TN 370689022
Phone: (615) 465-7390
Fax: (615) 628-6877
Type: Location
1613 N MCKENZIE ST
FOLEY, AL 365352247
Phone: (251) 949-3711
Fax: (251) 949-3715
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 54 Open Payments records for all available years, with a total value of $1,396.
Total Amount is formed as General ($1,396) + Research ($0) + Ownership ($0) = $1,396.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($431).
Total Amount
$1,396
General + Research + Ownership
Payments
54
Total payment records
General Amount
$1,396
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
Top Companies
Largest payers in this snapshot
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: 2012-04-11
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120411000350 | I | Nurse Practitioner | AL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 236 | 122 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 111 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 108 | 21 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 86 | 32 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 72 | 72 | $0 |
Insurance plans in this area (ZIP 36535)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | FL | |
| Nurse Practitioner | FL |
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