TA-NISHA EMMANUEL (DNP, APRN, FNP-C) – Registered Nurse, NPI 1194105171
Registered Nurse
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for TA-NISHA EMMANUEL (DNP, APRN, FNP-C)
PO BOX 211699
SAINT PAUL, MN 551213699
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Mailing
1722 Pine St Ste 502
Montgomery, AL 361061160
Phone: (342) 938-5883
Fax: (334) 293-6978
Type: Location
103 BRYAN ST
PRATTVILLE, AL 360665340
Phone: (334) 303-4532
Type: Mailing
10110 SOUTH 7650 EAST
CROW AGENCY, MT 590220009
Phone: (406) 638-3500
Type: Location
1 PERIMETER PARK S STE 195A
BIRMINGHAM, AL 352432327
Phone: (866) 849-0692
Fax: (888) 973-8821
Type: Location
1722 PINE ST STE 203
MONTGOMERY, AL 361061158
Phone: (334) 293-8736
Fax: (334) 293-8738
Type: Mailing
1722 PINE ST STE 502
MONTGOMERY, AL 361061160
Phone: (342) 938-5883
Fax: (334) 293-6978
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: 2025-09-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250923000510 | I | Nurse Practitioner | AL | 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 55121)
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