MR. JAMES LEWIS FENLEY III
NPI 1124667332
Nurse Practitioner in Tuscaloosa, AL

Active since January 06, 2020PECOS EnrolledAccepts Medicare Assignment
92.24/100
CMS Quality Rating
4960 RICE MINE RD NE STE 40, TUSCALOOSA, AL 35406(205) 759-1519(205) 750-8612 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2025, Jan 6, 2020 (2 updates tracked since 2020).

About Mr. James Lewis Fenley Iii NPPES

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

MR. JAMES LEWIS FENLEY III (NPI 1124667332) is an individual nurse practitioner in Tuscaloosa, Alabama, licensed in Alabama (1167245) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1124667332
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. JAMES LEWIS FENLEY III
Location Address4960 RICE MINE RD NE STE 40Tuscaloosa, AL 35406-3136
Mailing Address1627 River Ro DrTuscaloosa, AL 35406-2396 · (478) 363-9399
Fax(205) 750-8612
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 6, 2020
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
NPI 1124667332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AL · 1167245
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4960 RICE MINE RD NE STE 40, Tuscaloosa, AL 35406

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. James Lewis Fenley Iii is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234505322
PECOS Enrollment IDI20221013003735
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35406 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.49
Improvement Activities40

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4960 RICE MINE RD NE STE 40
TUSCALOOSA, AL 35406
Dermatology
4960 RICE MINE RD NE STE 40
TUSCALOOSA, AL 35406
Dermatology
4960 RICE MINE RD NE STE 40
TUSCALOOSA, AL 35406
Physician Assistant
4960 RICE MINE RD NE STE 40
TUSCALOOSA, AL 35406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Fenley's NPI number?

The NPI number for James Fenley is 1124667332. It was assigned to this individual provider in the NPPES registry on January 6, 2020.

Where is James Fenley located?

James Fenley practices at 4960 Rice Mine Rd NE Ste 40, Tuscaloosa, AL 35406. The listed phone number is (205) 759-1519.

What is James Fenley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is James Fenley enrolled in Medicare?

Yes. James Fenley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Fenley accept?

Health plans from Blue Cross and Blue Shield of Alabama list James Fenley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for James Fenley was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.