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MS. REGINA RICHELLE SUDDUTH CRNP
NPI 1265175186
Nurse Practitioner - Acute Care in Sylacauga, AL

Active since April 19, 2022PECOS Enrolled
315 W FORT WILLIAMS ST, SYLACAUGA, AL 35150(256) 249-6995 Get Directions Write a Review

NPPES record last updated: June 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2024, Oct 12, 2023, Apr 19, 2022 (3 updates tracked since 2022).

About Ms. Regina Richelle Sudduth Crnp NPPES

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

MS. REGINA RICHELLE SUDDUTH CRNP (NPI 1265175186) is an individual acute care provider in Sylacauga, Alabama, licensed in Alabama (1-139228) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1265175186
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMS. REGINA RICHELLE SUDDUTHCredential: CRNP
Location Address315 W FORT WILLIAMS STSylacauga, AL 35150-2433
Mailing Address235 Walker DrLineville, AL 36266-6719
Phone(256) 249-6995
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateApril 19, 2022
Last NPPES UpdateJune 6, 20243 updates tracked since enumeration
NPPES CertifiedMay 30, 2024
✔ NPI 1265175186 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 · 1-139228
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-139228 (AL)
315 W FORT WILLIAMS ST, Sylacauga, AL 35150
Open in Google Maps ↗

Secondary Practice Location 1

Location 1501 Doug Baker Blvd, Suite 101Birmingham, AL 35242 · Phone (205) 774-3831 · Fax (205) 774-3832

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 (PECOS)

Ms. Regina Richelle Sudduth Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113374968
PECOS Enrollment IDI20231115003258
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 Reassignment

Medicare enrollment records show Regina Sudduth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lung Care &
Same address
Specialist
315 W FORT WILLIAMS ST, SUITE 200
Sylacauga, AL 35150
  • Reassigned Medicare billing, Alabama enrollment
  • 4 clinicians in this Medicare group
NPI 1609116938 (256) 401-0390

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 4

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.
173 services155 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
28 services26 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.
20 services17 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35150 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 3

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

LUNG CARE &
Specialist
315 W FORT WILLIAMS ST, SUITE 200
SYLACAUGA, AL 35150
Talladega County (256) 401-0390
LAUREN LUKER PERRY WHNP
Nurse Practitioner (Women's Health)
315 W FORT WILLIAMS ST
SYLACAUGA, AL 35150
Talladega County (256) 249-6995
MYRA HOUGHTON
Nurse Practitioner (Family)
315 W FORT WILLIAMS ST
SYLACAUGA, AL 35150
Talladega County (256) 401-0390

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 Regina Sudduth's NPI number?

The NPI number for Regina Sudduth is 1265175186. It was assigned to this individual provider in the NPPES registry on April 19, 2022.

Where is Regina Sudduth located?

Regina Sudduth practices at 315 W Fort Williams St, Sylacauga, AL 35150. The listed phone number is (256) 249-6995.

What is Regina Sudduth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Regina Sudduth enrolled in Medicare?

Yes. Regina Sudduth is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Regina Sudduth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Regina Sudduth reassigns Medicare benefits to Lung Care & (Sylacauga, AL). The 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 Regina Sudduth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Regina Sudduth 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 Regina Sudduth 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 Regina Sudduth was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.