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THOMAS JAMES ROBBINS CRNP
NPI 1326654609
Nurse Practitioner in Ensley, AL

Active since September 22, 2020PECOS EnrolledAccepts Medicare Assignment
1925 AVENUE E, ENSLEY, AL 35218(205) 788-5164 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 2, 2022, Sep 22, 2020 (2 updates tracked since 2020).

About Thomas James Robbins Crnp NPPES

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

THOMAS JAMES ROBBINS CRNP (NPI 1326654609) is an individual nurse practitioner in Ensley, Alabama, licensed in Alabama (1-135511) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1326654609
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTHOMAS JAMES ROBBINSCredential: CRNP
Location Address1925 AVENUE EEnsley, AL 35218-1619
Mailing Address405 Belcher StCentreville, AL 35042-2946 · (205) 926-2992
Phone(205) 788-5164
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 22, 2020
Last NPPES UpdateNovember 2, 20222 updates tracked since enumeration
NPPES CertifiedNovember 2, 2022
✔ NPI 1326654609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in AL · 1-135511
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-135511 (AL)
1925 AVENUE E, Ensley, AL 35218
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Secondary Practice Location 1

Location 11600 7th Ave SBirmingham, AL 35233-1711 · Phone (205) 965-5105

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Thomas James Robbins 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 ID8628445376
PECOS Enrollment IDI20221109001065
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 35218 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.

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%35 patients
Breast Cancer Screening
48%125 patients3/55-star benchmark: 93%
Cervical Cancer Screening
75%432 patients4/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
15%68 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
53%356 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
65%347 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
34%161 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
25%161 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,206 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
78%63 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
99%868 patients5/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
86%583 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%706 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 98% · 815 patients
Patients screened: 100% · 815 patients
94%307 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%195 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 71 patients
Patients totalRate: 21% · 72 patients
22%72 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

JOSHUA DANIEL MURPHY DO
Family Medicine
1925 AVENUE E
BIRMINGHAM, AL 35218
Jefferson County (205) 788-5164
BHC - PRINCETON OB/GYN
Obstetrics & Gynecology
1925 AVENUE E
ENSLEY, AL 35218
Jefferson County (205) 783-5164
DANETTA PERRY-DAVIS
Specialist/Technologist Cardiovascular (Sonography)
1925 AVENUE E
BIRMINGHAM, AL 35218
Jefferson County (205) 788-5164
DANIELA PHILLIPS LICSW
Social Worker (Clinical)
1925 AVENUE E
ENSLEY, AL 35218
Jefferson County (205) 788-5164
ROWELL S ASHFORD II M.D.
Obstetrics & Gynecology
1925 AVENUE E
ENSLEY, AL 35218
Jefferson County (205) 783-5164
BRITNEY HOPE BURKE
Nurse Practitioner
1925 AVENUE E
BIRMINGHAM, AL 35218
Jefferson County (205) 788-5164
RSA MEDICAL LLC
Obstetrics & Gynecology
1925 AVENUE E
BIRMINGHAM, AL 35218
Jefferson County (205) 788-5164
LATORYA FRANKS PA
Physician Assistant
1925 AVENUE E
ENSLEY, AL 35218
Jefferson County (205) 788-5164

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 Thomas Robbins's NPI number?

The NPI number for Thomas Robbins is 1326654609. It was assigned to this individual provider in the NPPES registry on September 22, 2020.

Where is Thomas Robbins located?

Thomas Robbins practices at 1925 Avenue E, Ensley, AL 35218. The listed phone number is (205) 788-5164.

What is Thomas Robbins's specialty?

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

Is Thomas Robbins enrolled in Medicare?

Yes. Thomas Robbins 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 Thomas Robbins accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Thomas Robbins 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 Thomas Robbins was last updated on November 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.