DANICA PRUETT – Anesthesiology Physician, NPI 1902867195
Anesthesiology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
284 ANESTHESIOLOGY in WV
Provider Addresses for DANICA PRUETT
PO BOX 14160
HUNTSVILLE, AL 358150160
Phone: (256) 386-4724
Type: Mailing
3200 MacCorkle Ave SE
Charleston, WV 253041227
Phone: (304) 388-5432
Type: Location
500 22nd St S
Birmingham, AL 352333110
Phone: (205) 934-9650
Type: Location
1717 6TH AVE S
BIRMINGHAM, AL 352331801
Phone:
Type: Mailing
Helen Keller Hospital, 1300, South Montgomery Avenue, Sheffield, Colbert County, Alabama, 35660, United States
SHEFFIELD, AL 356606334
Phone: (256) 386-4724
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: 2026-02-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050401000521 | I | Anesthesiology | AL | TBD |
| I20240628002711 | I | Anesthesiology | MD | TBD |
| I20260218003821 | I | Anesthesiology | WV | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 35815)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | WV | |
| Nurse Practitioner | WV | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | WV | |
| Family Practice | WV | |
| General Surgery | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WV | |
| - | WV | |
| Certified Registered Nurse Anesthetist (Crna) | WV | |
| Hospitalist, Family Practice | WV |
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