MELISSA CRUCE KERVIN (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1477240240

MELISSA CRUCE KERVIN (RN) is a healthcare provider. based in Pike road, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 1-185624 (AL). The NPI Number for MELISSA CRUCE KERVIN (RN) is 1477240240

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MELISSA CRUCE KERVIN (RN)
NPI
1477240240
Phone
(205) 999-6907
Address
88 WOODRIDGE AVE
Enumeration Date
20 April 2023
Last Update Date
4 June 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342797830
Graduation Year
2021 (5 years ago)
PAC ID
4688102635
Group Practice PAC ID
8527010917
Professional Enrollment ID
I20250103003217
Address ID
AL361071342MO2140XRDXX400
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MELISSA CRUCE KERVIN (RN)

  • 88 WOODRIDGE AVE

    PIKE ROAD, AL 360643888

    Phone: (205) 999-6907

    Type: Mailing

  • 7125 UNIVERSITY CT

    MONTGOMERY, AL 361178016

    Phone: (334) 239-2622

    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: 2025-01-03

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
I20250103003217INurse 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 36064)

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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: 8527010917View full group profile
NameSpecialtyState
Nurse PractitionerAL
P S Y C H I A T R YAL
Nurse PractitionerNY
-AL
Nurse PractitionerAL
P S Y C H I A T R YAL
Mental Health CounselorAL
Nurse PractitionerAL
P S Y C H I A T R YAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do I look up MELISSA CRUCE KERVIN (RN) by NPI?
Use NPI 1477240240 when you need to reference MELISSA CRUCE KERVIN (RN) in forms, claims, or directories.
Does this profile mean MELISSA CRUCE KERVIN (RN) is currently active?
Yes — MELISSA CRUCE KERVIN (RN) appears active in the national provider directory.
What kind of provider is MELISSA CRUCE KERVIN (RN)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for MELISSA CRUCE KERVIN (RN). Clinical services aligned with this taxonomy classification.
What location metadata exists for MELISSA CRUCE KERVIN (RN)?
The page summarizes Pike Road, Alabama for MELISSA CRUCE KERVIN (RN); expand the address list for detail.
Is MELISSA CRUCE KERVIN (RN) a real provider?
This page reflects official NPPES data for NPI 1477240240. Always confirm identity and privileges with the practice and licensing boards.

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