MR. RICHARD SHANE VINSON (CRNP) – Family Nurse Practitioner, NPI 1912357617

MR. RICHARD SHANE VINSON (CRNP) is a healthcare provider. based in Selma, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-131955 (AL). The NPI Number for MR. RICHARD SHANE VINSON (CRNP) is 1912357617

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
MR. RICHARD SHANE VINSON (CRNP)
NPI
1912357617
Phone
(334) 875-2640
Address
901 MEDICAL CENTER PKWY
Enumeration Date
14 June 2016
Last Update Date
14 June 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3348752640
Graduation Year
2016 (10 years ago)
PAC ID
5799070967
Group Practice PAC ID
8820047210
Professional Enrollment ID
I20160826001425
Address ID
AL367016746SE901XXPKWY400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

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Provider Addresses for MR. RICHARD SHANE VINSON (CRNP)

  • Medical Center Parkway, Selma, Dallas County, Alabama, 36701, United States

    SELMA, AL 367016746

    Phone: (334) 875-2640

    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 21 Open Payments records for all available years, with a total value of $390.

Total Amount is formed as General ($390) + Research ($0) + Ownership ($0) = $390.

Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Novo Nordisk Inc ($96).

Total Amount

$390

General + Research + Ownership

Payments

21

Total payment records

General Amount

$390

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-13

Latest reported date

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: 2016-08-26

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
I20160826001425INurse 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 36701)

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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: 8820047210View full group profile
NameSpecialtyState
Family PracticeAL
Family PracticeAL

Reviews

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Frequently asked questions

What identifier follows MR. RICHARD SHANE VINSON (CRNP) across health systems?
The NPI 1912357617 uniquely identifies MR. RICHARD SHANE VINSON (CRNP) in U.S. healthcare data.
Should I treat MR. RICHARD SHANE VINSON (CRNP) as an active provider?
Patients and plans typically see MR. RICHARD SHANE VINSON (CRNP) as active in the national extract.
What type of care does MR. RICHARD SHANE VINSON (CRNP) provide?
MR. RICHARD SHANE VINSON (CRNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MR. RICHARD SHANE VINSON (CRNP)?
MR. RICHARD SHANE VINSON (CRNP) is associated with Selma, Alabama in the same public data insurers reference.
Why is information missing for MR. RICHARD SHANE VINSON (CRNP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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