MS. CLARISSA RENEA KING (MSN APRN FNP-C) – Family Nurse Practitioner, NPI 1538983291

MS. CLARISSA RENEA KING (MSN APRN FNP-C) is a healthcare provider. based in Selma, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN APRN FNP-C. They hold a License No. 1-155646 (AL). The NPI Number for MS. CLARISSA RENEA KING (MSN APRN FNP-C) is 1538983291

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
MS. CLARISSA RENEA KING (MSN APRN FNP-C)
NPI
1538983291
Phone
(334) 412-4854
Address
508 ALABAMA AVE
Enumeration Date
11 November 2024
Last Update Date
11 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3346832073
Graduation Year
2024 (2 years ago)
PAC ID
9234644089
Group Practice PAC ID
0143219196
Professional Enrollment ID
I20250711002420
Address ID
AL367563218MA1310XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MS. CLARISSA RENEA KING (MSN APRN FNP-C)

  • 508 ALABAMA AVE

    SELMA, AL 367015807

    Phone: (334) 412-4854

    Type: Mailing

  • 101 PARK PL

    SELMA, AL 367016764

    Phone: (334) 877-1490

    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: 2025-07-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250711002420INurse 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 36701)

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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: 0143219196View full group profile
NameSpecialtyState
Nurse PractitionerAL
-AL
Certified Registered Nurse Anesthetist (Crna)AL
Nurse PractitionerAL
P O D I A T R YAL
Nurse PractitionerAL
R H E U M A T O L O G YCA
Family PracticeAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Can I cross-check MS. CLARISSA RENEA KING (MSN APRN FNP-C) using NPI 1538983291?
NPI 1538983291 belongs to MS. CLARISSA RENEA KING (MSN APRN FNP-C); compare other details if you need extra assurance.
Is MS. CLARISSA RENEA KING (MSN APRN FNP-C) still an active registrant?
MS. CLARISSA RENEA KING (MSN APRN FNP-C) carries an active NPI according to the public dataset.
What kind of doctor is MS. CLARISSA RENEA KING (MSN APRN FNP-C)?
MS. CLARISSA RENEA KING (MSN APRN FNP-C) is associated with Family Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Alabama is MS. CLARISSA RENEA KING (MSN APRN FNP-C) registered?
Use Selma, Alabama as the headline location for MS. CLARISSA RENEA KING (MSN APRN FNP-C) here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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