MRS. DONETTE RAE SURVANCE (NP) – Family Nurse Practitioner, NPI 1487047775
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for MRS. DONETTE RAE SURVANCE (NP)
4749 BERRY BLVD
MONTGOMERY, AL 361063079
Phone: (334) 747-8850
Fax: (334) 747-8860
Type: Location
301 BROWN SPRINGS RD
MONTGOMERY, AL 361177005
Phone: (334) 273-4159
Fax: (334) 273-4290
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: 2024-10-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20150429001161 | I | Nurse Practitioner | SC | TBD |
| I20180108001923 | I | Nurse Practitioner | AL | TBD |
| I20191113001778 | I | Nurse Practitioner | CO | TBD |
| I20221121001303 | I | Nurse Practitioner | HI | TBD |
| I20240817000450 | I | Nurse Practitioner | VA | TBD |
| I20241021002670 | I | Nurse Practitioner | WV | 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 |
|---|---|---|---|---|
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 34 | 33 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 21 | 15 | $0 |
Insurance plans in this area (ZIP 36106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | VA | |
| Nurse Practitioner | VA | |
| Nurse Practitioner | NV | |
| - | MI | |
| - | VA | |
| Emergency Medicine | VA | |
| - | VA | |
| - | VA | |
| Nurse Practitioner | VA |
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