MS. MYRA BETH ALLEN (NP) – Acute Care Nurse Practitioner, NPI 1700375094

MS. MYRA BETH ALLEN (NP) is a healthcare provider. based in Lanett, Alabama. specializing in Acute Care Nurse Practitioner. They hold the professional credentials NP. They hold a License No. 1-065136 (AL). The NPI Number for MS. MYRA BETH ALLEN (NP) is 1700375094

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MS. MYRA BETH ALLEN (NP)
NPI
1700375094
Phone
(706) 773-5627
Address
3215 CUSSETA RD
Enumeration Date
2 May 2018
Last Update Date
2 May 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3347564860
Graduation Year
2017 (9 years ago)
PAC ID
4587917596
Group Practice PAC ID
1658672530
Professional Enrollment ID
I20181022000764
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

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Provider Addresses for MS. MYRA BETH ALLEN (NP)

  • 3215 CUSSETA RD

    LANETT, AL 368633882

    Phone: (706) 773-5627

    Type: Mailing

  • Lanier Health Services, 4800, 48th Street, Eady City, Valley, Chambers County, Alabama, 36854, United States

    VALLEY, AL 368543666

    Phone: (334) 756-9180

    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: 2018-10-22

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
I20181022000764INurse 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
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2524$0
View full utilization report →

Insurance plans in this area (ZIP 36863)

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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: 1658672530View full group profile
NameSpecialtyState
Family PracticeAL
Nurse PractitionerAL
Family PracticeFL
Family PracticeVA
Internal MedicineAL
Internal MedicineAL
Family PracticeAL
Nurse PractitionerGA
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do I look up MS. MYRA BETH ALLEN (NP) by NPI?
Use NPI 1700375094 when you need to reference MS. MYRA BETH ALLEN (NP) in forms, claims, or directories.
Is MS. MYRA BETH ALLEN (NP)'s NPI currently valid?
The extract we use shows MS. MYRA BETH ALLEN (NP) as active.
Does MS. MYRA BETH ALLEN (NP) list a primary specialty?
If you are matching referrals, note Acute Care Nurse Practitioner for MS. MYRA BETH ALLEN (NP). Clinical services aligned with this taxonomy classification.
Does MS. MYRA BETH ALLEN (NP) practice in Alabama?
You will see Lanett, Alabama on file for MS. MYRA BETH ALLEN (NP) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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