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JEWELIA GAHAN CRNP
NPI 1154979177
Nurse Practitioner - Family in Trussville, AL

Active since September 03, 2019PECOS EnrolledAccepts Medicare Assignment
60.81/100
CMS Quality Rating
159 MAIN ST, TRUSSVILLE, AL 35173(205) 655-2110 Get Directions Write a Review

NPPES record last updated: September 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jewelia Gahan Crnp NPPES

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

JEWELIA GAHAN CRNP (NPI 1154979177) is an individual family provider in Trussville, Alabama, licensed in Alabama (1-159555) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1154979177
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEWELIA GAHANCredential: CRNP
Location Address159 MAIN STTrussville, AL 35173-1435
Mailing Address159 Main StTrussville, AL 35173-1435 · (205) 655-2110
Phone(205) 655-2110
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 3, 2019
✔ NPI 1154979177 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 · 1-159555
159 MAIN ST, Trussville, AL 35173
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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

Jewelia Gahan Crnp 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 ID3971937939
PECOS Enrollment IDI20191227001027
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 3

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.
66 services36 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35173 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.

60.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities0
Cost69.38

Reported Quality Measures

Breast Cancer Screening
64%435 patients3/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
86%266 patients4/55-star benchmark: 87%
Colorectal Cancer Screening
86%742 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
83%397 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
15%116 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
92%3,547 patients4/55-star benchmark: 100%
e-Prescribing
100%3,396 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
97%241 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
34%1,466 patients2/55-star benchmark: 98%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 96% · 1,193 patients
Patients screened: 99% · 1,193 patients
28%61 patients2/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%1,145 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
34%151 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers11 claims11 services$34.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MRS. MELANIE LEWIS LEHR MILLER MD
Family Medicine
159 MAIN ST
TRUSSVILLE, AL 35173
Jefferson County (205) 655-2110
TRUSSVILLE FAMILY HEALTHCARE PC
Legal Medicine
159 MAIN ST
TRUSSVILLE, AL 35173
Jefferson County (205) 655-2110

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 Jewelia Gahan's NPI number?

The NPI number for Jewelia Gahan is 1154979177. It was assigned to this individual provider in the NPPES registry on September 3, 2019.

Where is Jewelia Gahan located?

Jewelia Gahan practices at 159 Main St, Trussville, AL 35173. The listed phone number is (205) 655-2110.

What is Jewelia Gahan's specialty?

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

Is Jewelia Gahan enrolled in Medicare?

Yes. Jewelia Gahan 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 Jewelia Gahan accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Jewelia Gahan 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 Jewelia Gahan was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.