New Beacon of Jasper – Hospice Registered Nurse, NPI 1376572255
Hospice Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for New Beacon of Jasper
900 Church St Ste 123
Selma, AL 367014550
Phone: (334) 526-4414
Fax: (844) 793-9403
Type: Location
1013 Medical Center Pkwy Ste 101
Selma, AL 367016742
Phone: (334) 526-4414
Fax: (844) 793-9403
Type: Location
927 US Highway 80 W
Demopolis, AL 367324102
Phone: (334) 289-9522
Fax: (334) 289-1358
Type: Location
1280 Columbiana Road
Suite 110
Birmingham, AL 352161642
Phone: (205) 868-1100
Fax: (205) 868-1099
Type: Location
300 N Airport Rd
Units 3 and 4
Jasper, AL 355042517
Phone: (205) 387-9339
Type: Location
3835 WATERMELON RD STE 3&4
NORTHPORT, AL 354735001
Phone: (205) 469-0273
Fax: (205) 469-0276
Type: Location
El Cerro Reyes, 655, Brawley School Road, Mooresville, Iredell County, North Carolina, 28117, United States
SUITE 200
MOORESVILLE, NC 281179125
Phone: (704) 664-2876
Type: Mailing
300, North Airport Road, Jasper, Walker County, Alabama, 35504, United States
UNITS 3 AND 4
JASPER, AL 355042517
Phone: (205) 387-9339
Type: Location
3835 WATERMELON RD STE B&C
NORTHPORT, AL 354735001
Phone: (205) 469-0273
Fax: (205) 469-0276
Type: Location
PO BOX 4060
ATTN: REGULATORY
MOORESVILLE, NC 281174060
Phone: (704) 664-2876
Fax: (704) 230-0946
Type: Mailing
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: 2006-09-07
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 |
|---|---|---|---|---|
| O20060907000536 | O | Hospice | 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 36701)
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