STEPHANIE HEAD (APRN) – Family Nurse Practitioner, NPI 1790123776
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STEPHANIE HEAD (APRN)
210 WESTSIDE DRIVE
DOTHAN, AL 36303
Phone: (334) 793-5074
Fax: (334) 793-6460
Type: Location
PO BOX 6599
DOTHAN, AL 363026599
Phone: (334) 793-5074
Fax: (334) 793-6460
Type: Mailing
4896 Highway 90 Ste A
Marianna, FL 324467840
Phone: (850) 526-6700
Fax: (850) 526-6700
Type: Location
4300 W MAIN ST STE 41
DOTHAN, AL 363051318
Phone: (334) 944-7095
Fax: (334) 793-6460
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $150.
Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.
Last reported payment date: 2023-08-16 • Largest payer in this snapshot: ABBVIE INC. ($132).
Total Amount
$150
General + Research + Ownership
Payments
11
Total payment records
General Amount
$150
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $132 |
| IMPEL PHARMACEUTICALS INC. | $18 |
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: 2024-03-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131107001694 | I | Nurse Practitioner | AL | TBD |
| I20240321002151 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 36303)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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