CLARISSA JORDAN ANNAN CRNP
NPI 1043940687
Nurse Practitioner - Family in Gulf Shores, AL

Q: What is Clarissa Annan's NPI number?

The NPI number for Clarissa Annan is 1043940687. It was assigned to this individual provider in the NPPES registry on June 15, 2022.

Q: What is Clarissa Annan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Clarissa Annan was last updated on June 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 15, 2022PECOS Enrolled

156 E 15TH AVE, GULF SHORES, AL 36542(251) 948-4290(251) 948-7682 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Clarissa Jordan Annan Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLARISSA JORDAN ANNAN CRNP (NPI 1043940687) is an individual family provider in Gulf Shores, Alabama, licensed in Alabama (1-164543) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043940687

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameCLARISSA JORDAN ANNANCredential: CRNP

Location Address156 E 15TH AVEGulf Shores, AL 36542-3516

Mailing Address1239 Lavender LnFoley, AL 36535-9565 · (251) 747-0980

Phone(251) 948-4290

Fax(251) 948-7682

Sole ProprietorNo

Enumeration DateJune 15, 2022

NPPES CertifiedJune 9, 2022

✔ NPI 1043940687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AL · 1-164543

156 E 15TH AVE, Gulf Shores, AL 36542

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clarissa Jordan Annan Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36542 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.90 typical visit price

range $52.65 – $161.63

Typical copayment $20.47 (range $13.16 – $40.40)

Most-billed visit code 99203

Established Patient

$93.72 typical visit price

range $16.56 – $131.65

Typical copayment $23.43 (range $4.14 – $32.91)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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