JAMES STANTON CRNP
NPI 1235691189
Nurse Practitioner - Acute Care in Vestavia Hills, AL
About James Stanton Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAMES STANTON CRNP (NPI 1235691189) is an individual acute care provider in Vestavia Hills, Alabama, licensed in Alabama (2018068953) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Accepted 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
James Stanton 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.
Medicare Billing Reassignments
2Medicare enrollment records show James Stanton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Birmingham, AL 35243
- Reassigned Medicare billing, Alabama enrollment
- 126 clinicians in this Medicare group
Birmingham, AL 35233
- Reassigned Medicare billing, Alabama enrollment
- 4,494 clinicians in this Medicare group
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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 35216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VESTAVIA HILLS, AL 35216
VESTAVIA HILLS, AL 35216
VESTAVIA HILLS, AL 35216
VESTAVIA HILLS, AL 35216
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 Stanton's NPI number?
The NPI number for James Stanton is 1235691189. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is James Stanton located?
James Stanton practices at 1021 Montgomery Hwy Ste 201, Vestavia Hills, AL 35216. The listed phone number is (205) 971-1925.
What is James Stanton's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is James Stanton enrolled in Medicare?
Yes. James Stanton 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 James Stanton's services?
According to the CMS Revalidation Reassignment List (October 2026 release), James Stanton reassigns Medicare benefits to 2 organizations: Affinity Physician Services LLC (Birmingham, AL) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). 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 James Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does James Stanton accept?
Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company and 1 other insurer list James Stanton 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 Stanton was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# James Stanton, CRNP · NPI 1235691189
Acute Care physician in Vestavia Hills, Alabama. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1235691189 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 2018068953 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 1021 MONTGOMERY HWY STE 201, Vestavia Hills, AL 35216-2805
- **Phone:** (205) 971-1925 · **Fax:** (205) 971-1926
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Affinity Physician Services LLC (NPI 1366485617, Birmingham, AL); University Of Alabama Health Services Foundation, PC (NPI 1356377576, Birmingham, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235691189) · Data from the CMS NPPES public registry.