RENAI ALLEN (DNP, APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1790872158
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for RENAI ALLEN (DNP, APRN)
3630 WINDLAKE DR
SNELLVILLE, GA 300395241
Phone: (617) 699-5013
Type: Mailing
790 Fuller Ave NE
Grand Rapids, MI 495031918
Phone: (616) 336-3909
Fax: (616) 336-8830
Type: Location
402 S 4th Ave
Yakima, WA 989023546
Phone: (509) 575-4084
Type: Location
4398 Atlanta Hwy
Loganville, GA 300527314
Phone: (617) 699-5013
Type: Location
4398, Atlanta Highway, Loganville, Walton County, Georgia, 30052, United States
LOGANVILLE, GA 300527314
Phone: (617) 699-5013
Type: Location
1775 PARKER RD SE STE C210
CONYERS, GA 300946676
Phone: (617) 699-5013
Type: Mailing
3255 N POINT PKWY STE 202
ALPHARETTA, GA 300054712
Phone: (617) 699-5013
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2024-06-12 • Largest payer in this snapshot: Boston Scientific Corporation ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $16 |
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: 2024-03-22
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 |
|---|---|---|---|---|
| I20210720001190 | I | Nurse Practitioner | WA | TBD |
| I20240322000387 | I | Nurse Practitioner | MI | 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 30039)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | GA | |
| Nurse Practitioner | MN | |
| Nurse Practitioner | SC | |
| Nurse Practitioner | GA | |
| Family Practice, General Practice | GA | |
| Physician Assistant | SC | |
| - | GA | |
| General Practice, Family Practice | SC | |
| Nurse Practitioner | GA |
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