PATRICK ADAM FANNING (FNP-C) – Family Nurse Practitioner, NPI 1922784263

PATRICK ADAM FANNING (FNP-C) is a healthcare provider. based in Cottondale, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 1-171865 (AL). The NPI Number for PATRICK ADAM FANNING (FNP-C) is 1922784263

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
PATRICK ADAM FANNING (FNP-C)
NPI
1922784263
Phone
(205) 799-4575
Address
11676 BRANT WARD RD
Enumeration Date
22 June 2023
Last Update Date
22 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2057597111
Graduation Year
2023 (3 years ago)
PAC ID
6507228616
Group Practice PAC ID
9436401106
Professional Enrollment ID
I20230821003095
Address ID
AL354012029TU809XXEXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for PATRICK ADAM FANNING (FNP-C)

  • 11676 BRANT WARD RD

    COTTONDALE, AL 354533127

    Phone: (205) 799-4575

    Type: Mailing

  • 809 UNIVERSITY BLVD E

    TUSCALOOSA, AL 354012029

    Phone: (205) 759-7122

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Chiesi USA, Inc. ($137).

Total Amount

$137

General + Research + Ownership

Payments

2

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-06

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Chiesi USA, Inc.$137
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: 2023-08-21

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
I20230821003095INurse 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 35453)

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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: 9436401106View full group profile
NameSpecialtyState
Emergency MedicineAL
-AL
-AL
Nurse PractitionerAL
Nurse PractitionerAL
Nurse PractitionerAL
Emergency MedicineAL
Nurse PractitionerAL
Emergency MedicineFL
Nurse PractitionerAL

Reviews

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Frequently asked questions

What NPI should I save for PATRICK ADAM FANNING (FNP-C)?
Save NPI 1922784263 if you need a stable reference for PATRICK ADAM FANNING (FNP-C).
Is PATRICK ADAM FANNING (FNP-C) active in the national directory?
PATRICK ADAM FANNING (FNP-C)'s public NPI profile is in an active state.
What kind of provider is PATRICK ADAM FANNING (FNP-C)?
The page reflects Family Nurse Practitioner for PATRICK ADAM FANNING (FNP-C). Clinical services aligned with this taxonomy classification.
Does PATRICK ADAM FANNING (FNP-C) practice in Alabama?
You will see Cottondale, Alabama on file for PATRICK ADAM FANNING (FNP-C) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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