JONATHAN MARK WINDHAM (CRNP) – Nurse Practitioner, NPI 1700272127

JONATHAN MARK WINDHAM (CRNP) is a healthcare provider. based in Pell city, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-092749 (AL). The NPI Number for JONATHAN MARK WINDHAM (CRNP) is 1700272127

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
JONATHAN MARK WINDHAM (CRNP)
NPI
1700272127
Phone
(205) 814-9284
Address
70 PLAZA DR
Enumeration Date
13 April 2015
Last Update Date
13 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE
Secondary Phone
2054171977
Graduation Year
2014 (12 years ago)
PAC ID
1850602210
Group Practice PAC ID
2769907831
Professional Enrollment ID
I20150625002175
Address ID
AL351780000VI131XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for JONATHAN MARK WINDHAM (CRNP)

  • 70 PLAZA DR

    PELL CITY, AL 351259314

    Phone: (205) 814-9284

    Fax: (205) 814-9626

    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: 2015-06-25

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
I20150625002175INurse 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
J1100Injection, dexamethasone sodium phosphate, 1 mg14515$0
87804Detection test by immunoassay with direct visual observation for influenza virus6030$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)3635$0
96372Injection of drug or substance under skin or into muscle2719$0
96127Assessment of emotional or behavioral problems2413$0
View full utilization report →

Insurance plans in this area (ZIP 35125)

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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: 2769907831View full group profile
NameSpecialtyState
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL

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Frequently asked questions

What identifier follows JONATHAN MARK WINDHAM (CRNP) across health systems?
The NPI 1700272127 uniquely identifies JONATHAN MARK WINDHAM (CRNP) in U.S. healthcare data.
Does the public listing show JONATHAN MARK WINDHAM (CRNP) as active?
JONATHAN MARK WINDHAM (CRNP)'s NPI record reflects an active status in NPPES.
How should patients interpret JONATHAN MARK WINDHAM (CRNP)'s specialty?
The extract shows Nurse Practitioner for JONATHAN MARK WINDHAM (CRNP). Clinical services aligned with this taxonomy classification.
What city is tied to JONATHAN MARK WINDHAM (CRNP)?
The directory associates JONATHAN MARK WINDHAM (CRNP) with Pell City, Alabama. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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