MR. HIBOOMBE M HAAMANKULI (CRNP-BC) – Acute Care Nurse Practitioner, NPI 1780970665

MR. HIBOOMBE M HAAMANKULI (CRNP-BC) is a healthcare provider. based in Montgomery, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP-BC. They hold a License No. 1-111413 (AL). The NPI Number for MR. HIBOOMBE M HAAMANKULI (CRNP-BC) is 1780970665

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
MR. HIBOOMBE M HAAMANKULI (CRNP-BC)
NPI
1780970665
Phone
(334) 387-0948
Address
185 MITYLENE PARK LANE
Enumeration Date
20 June 2011
Last Update Date
20 June 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2058383000
Graduation Year
2010 (16 years ago)
PAC ID
2961670229
Group Practice PAC ID
8325044597
Professional Enrollment ID
I20110713000139
Address ID
AL352353401BI50XXXDRXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. HIBOOMBE M HAAMANKULI (CRNP-BC)

  • 185 MITYLENE PARK LANE

    MONTGOMERY, AL 36117

    Phone: (334) 387-0948

    Fax: (334) 387-0955

    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)

CMS reports 5 Open Payments records for all available years, with a total value of $419.

Total Amount is formed as General ($419) + Research ($0) + Ownership ($0) = $419.

Last reported payment date: 2024-11-09 • Largest payer in this snapshot: Novo Nordisk Inc ($140).

Total Amount

$419

General + Research + Ownership

Payments

5

Total payment records

General Amount

$419

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-07-13

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
I20110713000139INurse 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 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 36117)

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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: 8325044597View full group profile
NameSpecialtyState
Nurse PractitionerAL
Internal MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What is the registry number for MR. HIBOOMBE M HAAMANKULI (CRNP-BC)?
The registry entry for MR. HIBOOMBE M HAAMANKULI (CRNP-BC) shows NPI 1780970665.
Quick check: is MR. HIBOOMBE M HAAMANKULI (CRNP-BC) active?
Public NPPES data shows MR. HIBOOMBE M HAAMANKULI (CRNP-BC) with an active NPI status right now.
Which specialty label fits MR. HIBOOMBE M HAAMANKULI (CRNP-BC)?
NPPES ties MR. HIBOOMBE M HAAMANKULI (CRNP-BC) to Acute Care Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MR. HIBOOMBE M HAAMANKULI (CRNP-BC) in Montgomery, Alabama?
For routing, start with Montgomery, Alabama for MR. HIBOOMBE M HAAMANKULI (CRNP-BC), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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