STEPHANIE GRIDER PHILLIPS (CRNP) – Family Nurse Practitioner, NPI 1790092906

STEPHANIE GRIDER PHILLIPS (CRNP) is a healthcare provider. based in Scottsboro, Alabama. specializing in Family Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-101961 (AL). The NPI Number for STEPHANIE GRIDER PHILLIPS (CRNP) is 1790092906

Main info

Female
Name
STEPHANIE GRIDER PHILLIPS (CRNP)
NPI
1790092906
Phone
(256) 999-0808
Address
23800 JOHN T REID PARKWAY
Enumeration Date
9 September 2010
Last Update Date
27 March 2019
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:15State licenses:1Digital endpointsOther names

Provider Addresses for STEPHANIE GRIDER PHILLIPS (CRNP)

  • 23800 JOHN T REID PARKWAY

    SCOTTSBORO, AL 35768

    Phone: (256) 999-0808

    Fax: (844) 490-5876

    Type: Mailing

  • 23800 JOHN T REID PKWY

    SCOTTSBORO, AL 357682841

    Phone: (256) 999-0808

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $295.

Total Amount is formed as General ($295) + Research ($0) + Ownership ($0) = $295.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Corium, LLC ($96).

Total Amount

$295

General + Research + Ownership

Payments

23

Total payment records

General Amount

$295

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2014-04-09

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140409001787INurse PractitionerALTBD

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.

Verify on CMS Revalidation Lookup Tool

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 35768)

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Reviews

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Frequently asked questions

What is STEPHANIE GRIDER PHILLIPS (CRNP)'s NPI number?
STEPHANIE GRIDER PHILLIPS (CRNP)'s NPI is 1790092906 — the number used across U.S. healthcare to identify this provider.
Is there an active status for STEPHANIE GRIDER PHILLIPS (CRNP)?
For scheduling context, STEPHANIE GRIDER PHILLIPS (CRNP) is shown as active in the registry.
What area of care is associated with STEPHANIE GRIDER PHILLIPS (CRNP)?
STEPHANIE GRIDER PHILLIPS (CRNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with STEPHANIE GRIDER PHILLIPS (CRNP)?
Directory geography for STEPHANIE GRIDER PHILLIPS (CRNP) centers on Scottsboro, Alabama.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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