MRS. KAMILLE BLOOD CULBERSON (RN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790321008

MRS. KAMILLE BLOOD CULBERSON (RN) is a healthcare provider. based in Gadsden, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 1-140121 (AL). The NPI Number for MRS. KAMILLE BLOOD CULBERSON (RN) is 1790321008

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KAMILLE BLOOD CULBERSON (RN)
NPI
1790321008
Phone
(256) 546-9265
Address
3001 SCENIC HWY
Enumeration Date
21 November 2019
Last Update Date
10 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2565469265
Graduation Year
2021 (5 years ago)
PAC ID
8820481690
Group Practice PAC ID
5799743928
Professional Enrollment ID
I20220201000174
Address ID
AL359043047GA3001XHWYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MRS. KAMILLE BLOOD CULBERSON (RN)

  • 3001 SCENIC HWY

    GADSDEN, AL 359043047

    Phone: (256) 546-9265

    Type: Location

  • 1802 6TH AVE S

    BIRMINGHAM, AL 352331932

    Phone: (205) 934-4000

    Type: Mailing

  • 381 Youngs Chapel Rd

    Piedmont, AL 362728426

    Phone: (256) 553-0849

    Type: Location

  • 1713 6th Ave South

    Birmingham, AL 36210

    Phone: (205) 934-4000

    Type: Location

  • 1802 6th Ave S

    Birmingham, AL 352331932

    Phone: (205) 934-4000

    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: 2022-02-01

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
I20220201000174INurse 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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35904)

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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: 5799743928View full group profile
NameSpecialtyState
Clinical Social WorkerAL
Psychiatry, Addiction Medicine, NeurologyAL
Geriatric PsychiatryAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

How do payers reference MRS. KAMILLE BLOOD CULBERSON (RN)?
For MRS. KAMILLE BLOOD CULBERSON (RN), use NPI 1790321008 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. KAMILLE BLOOD CULBERSON (RN)?
You should see MRS. KAMILLE BLOOD CULBERSON (RN) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. KAMILLE BLOOD CULBERSON (RN)?
MRS. KAMILLE BLOOD CULBERSON (RN) is associated with Psychiatric/Mental Health Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. KAMILLE BLOOD CULBERSON (RN)?
Directory geography for MRS. KAMILLE BLOOD CULBERSON (RN) centers on Gadsden, Alabama.
When was this NPI issued?
Enumeration for MRS. KAMILLE BLOOD CULBERSON (RN) is noted as November 21, 2019 where the registry provides it.

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