JAMES STANTON CRNP
NPI 1235691189
Nurse Practitioner - Acute Care in Vestavia Hills, AL

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1021 MONTGOMERY HWY STE 201, VESTAVIA HILLS, AL 35216(205) 971-1925(205) 971-1926 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Dec 27, 2024, Sep 22, 2020 and 1 more (4 updates tracked since 2019).

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

NPI1235691189
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameJAMES STANTONCredential: CRNP
Location Address1021 MONTGOMERY HWY STE 201Vestavia Hills, AL 35216-2805
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701
Fax(205) 971-1926
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 1, 2019
Last NPPES UpdateJune 9, 20254 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
NPI 1235691189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 2018068953
Also ListedNurse PractitionerTaxonomy 363L00000X · License 1-144765 (AL)
1021 MONTGOMERY HWY STE 201, Vestavia Hills, AL 35216

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

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.

PECOS PAC ID5092140897
PECOS Enrollment IDI20200125000195
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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
39 services38 patients
Partial removal of collar bone at shoulder using an endoscope 29824
This procedure involves the partial removal of the collar bone at the shoulder using an endoscope, a tool with a light and camera. It's done to relieve pain or improve shoulder movement. The surgeon makes small incisions, then uses the endoscope to guide their work.
23 services20 patients
Shaving of part of shoulder bone and repair of ligament using an endoscope 29826
This procedure involves using a tiny camera, called an endoscope, to view and repair a damaged shoulder ligament. Simultaneously, a small portion of the shoulder bone is shaved to alleviate discomfort and improve movement. It's a minimally invasive technique that aids in a quicker recovery.
23 services20 patients

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.

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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1021 MONTGOMERY HWY STE 201
VESTAVIA HILLS, AL 35216
Orthopaedic Surgery (Sports Medicine)
1021 MONTGOMERY HWY STE 201
VESTAVIA HILLS, AL 35216
Occupational Therapist
1021 MONTGOMERY HWY STE 201
VESTAVIA HILLS, AL 35216
Orthopaedic Surgery
1021 MONTGOMERY HWY STE 201
VESTAVIA HILLS, AL 35216
Physician Assistant
1021 MONTGOMERY HWY STE 201
VESTAVIA HILLS, AL 35216
Physician Assistant (Medical)
1021 MONTGOMERY HWY STE 201
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.

What insurance does James Stanton accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama 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 13 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.