KEITH SCOTT CLASSEN (FNP) – Family Nurse Practitioner, NPI 1629545926

KEITH SCOTT CLASSEN (FNP) is a healthcare provider. based in Atmore, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1-096876 (AL). The NPI Number for KEITH SCOTT CLASSEN (FNP) is 1629545926

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
KEITH SCOTT CLASSEN (FNP)
NPI
1629545926
Phone
(251) 368-2500
Address
401 MEDICAL PARK DR
Enumeration Date
25 October 2018
Last Update Date
1 November 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2513686245
Graduation Year
2018 (8 years ago)
PAC ID
2466792122
Group Practice PAC ID
4385616119
Professional Enrollment ID
I20190318000810
Address ID
AL365026333AT5850X21XX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for KEITH SCOTT CLASSEN (FNP)

  • Atmore Community Hospital, 401, Medical Park Drive, Southern Estates, Atmore, Escambia County, Alabama, 36502, United States

    ATMORE, AL 365023091

    Phone: (251) 368-2500

    Mailing address matches the actual address.

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: 2019-03-18

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
I20190318000810INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87804Detection test by immunoassay with direct visual observation for influenza virus8239$0
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus4341$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza3431$0
81003Automated urinalysis test3026$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)2523$0
View full utilization report →

Insurance plans in this area (ZIP 36502)

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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: 4385616119View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Nurse PractitionerAL
-NY
Nurse PractitionerAL
Family PracticeAL
Family PracticeFL
Nurse PractitionerAL
Family PracticeAL
General Surgery, Gynecological Oncology, Surgical OncologyAL

Reviews

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Frequently asked questions

What number should I use to identify KEITH SCOTT CLASSEN (FNP) for billing?
Administrative and clinical systems typically use NPI 1629545926 for KEITH SCOTT CLASSEN (FNP).
Quick check: is KEITH SCOTT CLASSEN (FNP) active?
Public NPPES data shows KEITH SCOTT CLASSEN (FNP) with an active NPI status right now.
What does the directory say KEITH SCOTT CLASSEN (FNP) does?
Insurance directories may phrase it differently, but here KEITH SCOTT CLASSEN (FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KEITH SCOTT CLASSEN (FNP) tied to Atmore, Alabama?
If you are local to Atmore, Alabama, KEITH SCOTT CLASSEN (FNP) may be relevant to your search.
Can I export KEITH SCOTT CLASSEN (FNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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