CACYCE FOWLER – Family Nurse Practitioner, NPI 1457774200

CACYCE FOWLER is a healthcare provider. based in Northport, Alabama. specializing in NURSE PRACTITIONER. They hold a License No. 1-093244 (AL). The NPI Number for CACYCE FOWLER is 1457774200

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
CACYCE FOWLER
NPI
1457774200
Phone
(205) 330-5266
Address
4310 Watermelon Rd
Enumeration Date
30 January 2014
Last Update Date
13 November 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2053756251
Graduation Year
2013 (13 years ago)
PAC ID
6406087774
Group Practice PAC ID
1658597307
Professional Enrollment ID
I20140331000488
Address ID
AL354818018RE108XXSWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for CACYCE FOWLER

  • 4310 Watermelon Rd

    Northport, AL 35473

    Phone: (205) 330-5266

    Fax: (205) 330-9915

    Type: Location

  • 108 4TH AVE SW STE A

    REFORM, AL 354818018

    Phone: (205) 375-6251

    Fax: (205) 375-9064

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $151.

Total Amount is formed as General ($151) + Research ($0) + Ownership ($0) = $151.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($65).

Total Amount

$151

General + Research + Ownership

Payments

8

Total payment records

General Amount

$151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2014-03-31

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
I20140331000488INurse 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 35473)

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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: 1658597307View full group profile
NameSpecialtyState
Nurse PractitionerAL
Family PracticeAL
Nurse PractitionerAL
-AL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I cross-check CACYCE FOWLER using NPI 1457774200?
NPI 1457774200 belongs to CACYCE FOWLER; compare other details if you need extra assurance.
Is CACYCE FOWLER still an active registrant?
CACYCE FOWLER carries an active NPI according to the public dataset.
What area of care is associated with CACYCE FOWLER?
CACYCE FOWLER's record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is CACYCE FOWLER located near Northport?
CACYCE FOWLER currently maps to Northport, Alabama in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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