TIA LA'SHEY STURDIVANT CRNP
NPI 1245054733
Nurse Practitioner - Family in Montgomery, AL

Q: What is Tia Sturdivant's NPI number?

The NPI number for Tia Sturdivant is 1245054733. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Q: What is Tia Sturdivant's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tia Sturdivant was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since November 11, 2024PECOS EnrolledAccepts Medicare Assignment

1725 PINE ST, MONTGOMERY, AL 36106(334) 293-8000 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tia La'shey Sturdivant Crnp NPPES

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

TIA LA'SHEY STURDIVANT CRNP (NPI 1245054733) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-149855) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245054733

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIA LA'SHEY STURDIVANTCredential: CRNP

Location Address1725 PINE STMontgomery, AL 36106-1117

Mailing Address403 County Road 819Selma, AL 36701-1901

Phone(334) 293-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateNovember 11, 2024

NPPES CertifiedNovember 11, 2024

✔ NPI 1245054733 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 · 1-149855

1725 PINE ST, Montgomery, AL 36106

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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

Tia La'shey Sturdivant 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 ID9830687268

PECOS Enrollment IDI20251018000196

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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.

Other Providers at the Same Location NPPES 20

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

DR. JAMES D WURST PHARM.D.

Pharmacist