EMILY DONIELLE WORTHY CRNP
NPI 1306471586
Nurse Practitioner in Vestavia Hills, AL

Active since March 08, 2020PECOS EnrolledAccepts Medicare Assignment
96.24/100
CMS Quality Rating
1680 MONTGOMERY HWY, VESTAVIA HILLS, AL 35216(205) 236-6394 Get Directions Write a Review

NPPES record last updated: March 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emily Donielle Worthy Crnp NPPES

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

EMILY DONIELLE WORTHY CRNP (NPI 1306471586) is an individual nurse practitioner in Vestavia Hills, Alabama, licensed in Alabama (1-141802) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1306471586
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameEMILY DONIELLE WORTHYCredential: CRNP
Location Address1680 MONTGOMERY HWYVestavia Hills, AL 35216-4906
Mailing Address524 Oak Trace CirHoover, AL 35244-4515 · (205) 913-3401
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 8, 2020
NPPES CertifiedMarch 8, 2020
NPI 1306471586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in AL · 1-141802
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.
1680 MONTGOMERY HWY, 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

Emily Donielle Worthy 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 ID7911320320
PECOS Enrollment IDI20200701002698
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 12

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
338 services36 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
76 services37 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
72 services67 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.
69 services66 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.
51 services39 patients
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.
43 services38 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.

96.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.02
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Family Medicine
1680 MONTGOMERY HWY
HOOVER, AL 35216
Pharmacist
1680 MONTGOMERY HWY
HOOVER, AL 35216
Nurse Practitioner (Family)
1680 MONTGOMERY HWY
HOOVER, AL 35216
Clinic/Center (Primary Care)
1680 MONTGOMERY HWY
BIRMINGHAM, AL 35216
Pharmacist
1680 MONTGOMERY HWY
BIRMINGHAM, AL 35216
Pharmacy (Community/Retail Pharmacy)
1680 MONTGOMERY HWY
BIRMINGHAM, AL 35216
Pharmacist
1680 MONTGOMERY HWY
HOOVER, AL 35216
Nurse Practitioner (Family)
1680 MONTGOMERY HWY
HOOVER, 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 Emily Worthy's NPI number?

The NPI number for Emily Worthy is 1306471586. It was assigned to this individual provider in the NPPES registry on March 8, 2020.

Where is Emily Worthy located?

Emily Worthy practices at 1680 Montgomery Hwy, Vestavia Hills, AL 35216. The listed phone number is (205) 236-6394.

What is Emily Worthy's specialty?

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

Is Emily Worthy enrolled in Medicare?

Yes. Emily Worthy 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 Emily Worthy accept?

Health plans from Blue Cross and Blue Shield of Alabama list Emily Worthy 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 Emily Worthy was last updated on March 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.