TRACI HIGGINBOTHAM (CRNP) – Gerontology Nurse Practitioner, NPI 1205375730
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,653 NURSE PRACTITIONER in AL
Provider Addresses for TRACI HIGGINBOTHAM (CRNP)
333 COMMERCE ST STE 700
NASHVILLE, TN 372011835
Phone: (615) 627-2293
Fax: (888) 494-2588
Type: Mailing
2703 7TH ST
TUSCALOOSA, AL 354011865
Phone: (205) 759-8470
Fax: (205) 366-9001
Type: Mailing
Southbridge Parkway, English Village, Birmingham, Jefferson County, Alabama, 35209, United States
BIRMINGHAM, AL 352091302
Phone: (205) 533-8902
Fax: (855) 737-5542
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $65.
Total Amount is formed as General ($65) + Research ($0) + Ownership ($0) = $65.
Last reported payment date: 2024-03-15 • Largest payer in this snapshot: Lundbeck LLC ($52).
Total Amount
$65
General + Research + Ownership
Payments
4
Total payment records
General Amount
$65
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $52 |
| Janssen Pharmaceuticals, Inc | $13 |
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: 2017-03-23
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 |
|---|---|---|---|---|
| I20170323000149 | 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 37201)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospice/Palliative Care, Internal Medicine | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL | |
| Nurse Practitioner | MS | |
| Nurse Practitioner | AL | |
| Mental Health Counselor | AL | |
| Nurse Practitioner | AL |
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