LUIZ JUAN (CRNP) – Family Nurse Practitioner, NPI 1912446337
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for LUIZ JUAN (CRNP)
5121 Maryland Way Ste 300
Brentwood, TN 370277516
Phone: (615) 928-6275
Type: Location
1007 Goodyear Ave
Gadsden, AL 359031100
Phone: (256) 491-4102
Type: Location
200 Medical Center Dr SW
Fort Payne, AL 359683458
Phone: (256) 997-2400
Type: Location
411, 10th Street Northwest, Fort Payne, DeKalb County, Alabama, 35967, United States
FORT PAYNE, AL 359672844
Phone: (256) 996-9121
Type: Mailing
Maryland Way, Williamsburg Estates, Brentwood, Williamson County, Tennessee, 37027, United States
BRENTWOOD, TN 370277516
Phone: (615) 928-6275
Type: Location
100 FOREST AVE NW
FORT PAYNE, AL 359672054
Phone: (256) 996-9121
Type: Mailing
2605 GAULT AVE N STE 200
FORT PAYNE, AL 359673700
Phone: (256) 996-9121
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: 2017-05-25
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 |
|---|---|---|---|---|
| I20170525001305 | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 152 | 31 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 125 | 31 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 91 | 49 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 85 | 40 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 59 | 59 | $0 |
Insurance plans in this area (ZIP 37027)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Nurse Practitioner | AL |
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