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MS. KATHERINE ELIZABETH O'NEAL CRNP
NPI 1205486339
Nurse Practitioner in Bessemer, AL

Active since September 20, 2019PECOS EnrolledAccepts Medicare Assignment
78.35/100
CMS Quality Rating
5000 MEDICAL WEST WAY STE 608, BESSEMER, AL 35022(659) 997-7558(659) 997-5304 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 6, 2026, Feb 8, 2023, Dec 2, 2022 and 3 more (6 updates tracked since 2019).

About Ms. Katherine Elizabeth O'neal Crnp NPPES

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

MS. KATHERINE ELIZABETH O'NEAL CRNP (NPI 1205486339) is an individual nurse practitioner in Bessemer, Alabama, licensed in Georgia (RN311503) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Union General Hospital, and is a graduate of University Of South Alabama College Of Medicine (2018).

NPPES Registry Identity

NPI1205486339
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. KATHERINE ELIZABETH O'NEALCredential: CRNP
Location Address5000 MEDICAL WEST WAY STE 608Bessemer, AL 35022-7082
Mailing Address5000 Medical West Way Ste 608Bessemer, AL 35022-7082 · (659) 997-7558 · Fax (659) 997-5304
Phone(659) 997-7558
Fax(659) 997-5304
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2018
Enumeration DateSeptember 20, 2019
Last NPPES UpdateJanuary 6, 20266 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1205486339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses✔ Licensed in GA · RN311503✔ Licensed in AL · 1-134274
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.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-134274 (AL)
5000 MEDICAL WEST WAY STE 608, Bessemer, AL 35022
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Katherine Elizabeth O'neal 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 ID2961734454
PECOS Enrollment IDI20191103000020, I20221215001409
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Katherine O'neal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Alabama Health Services Foundation, PC
5.4 mi
Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group
NPI 1164617205 (205) 934-4983
Georgia Heart Institute LLC
194 mi
Cardiovascular Disease
200 S ENOTA DR NE STE 200
Gainesville, GA 30501
  • Reassigned Medicare billing, Georgia enrollment
  • 132 clinicians in this Medicare group
NPI 1477976520 (770) 534-2020

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.
737 services390 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
240 services211 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
190 services139 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
64 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union General Hospital

Acute Care Hospitals · Blairsville, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110051
Location35 Hospital RoadBlairsville, GA 30512 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35022 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.

78.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.17
Promoting Interoperability89
Improvement Activities40
Cost60.82

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers23 claims23 services$32.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
13 suppliers35 claims35 services$77.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers29 claims79 services$31.66 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
7 suppliers47 claims202 services$17.31 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers20 claims111 services$12.77 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
9 suppliers55 claims55 services$47.85 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 4

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

ASHLEY BOLER
Nurse Practitioner (Acute Care)
5000 MEDICAL WEST WAY STE 608
BESSEMER, AL 35022
Jefferson County (659) 997-7558
RAYMOND WORKMAN MD
Internal Medicine (Cardiovascular Disease)
5000 MEDICAL WEST WAY STE 608
BESSEMER, AL 35022
Jefferson County (659) 997-7558
WILLIAM FONBAH MD
Internal Medicine (Cardiovascular Disease)
5000 MEDICAL WEST WAY STE 608
BESSEMER, AL 35022
Jefferson County (659) 997-7558
MS. BREANA CHARDE PIPPENS RN
Registered Nurse
5000 MEDICAL WEST WAY STE 608
BESSEMER, AL 35022
Jefferson County (659) 997-7558

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 Katherine O'neal's NPI number?

The NPI number for Katherine O'neal is 1205486339. It was assigned to this individual provider in the NPPES registry on September 20, 2019.

Where is Katherine O'neal located?

Katherine O'neal practices at 5000 Medical West Way Ste 608, Bessemer, AL 35022. The listed phone number is (659) 997-7558.

What is Katherine O'neal's specialty?

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

Is Katherine O'neal enrolled in Medicare?

Yes. Katherine O'neal 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.

Which organizations bill Medicare for Katherine O'neal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine O'neal reassigns Medicare benefits to 2 organizations: University Of Alabama Health Services Foundation, PC (Birmingham, AL) and Georgia Heart Institute LLC (Gainesville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Katherine O'neal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine O'neal accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Katherine O'neal 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.

Is Katherine O'neal affiliated with any hospitals?

According to CMS data, Katherine O'neal is affiliated with Union General Hospital.

When was this NPI record last updated?

The NPPES record for Katherine O'neal was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.