1. Home
  2. Directory
  3. Alabama
  4. Birmingham
  5. Nurse Practitioner
  6. NPI Profile

DR. JAMES RICHARD GRAMLING DNP, CRNP
NPI 1366842015
Nurse Practitioner in Birmingham, AL

Active since August 31, 2014PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
5890 VALLEY RD STE 200, BIRMINGHAM, AL 35235(205) 655-7600 Get Directions Write a Review

NPPES record last updated: September 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2021, Mar 17, 2016 (2 updates tracked since 2016).

About Dr. James Richard Gramling Dnp, Crnp NPPES

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

DR. JAMES RICHARD GRAMLING DNP, CRNP (NPI 1366842015) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-082096) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (2014).

NPPES Registry Identity

NPI1366842015
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. JAMES RICHARD GRAMLINGCredential: DNP, CRNP
Location Address5890 VALLEY RD STE 200Birmingham, AL 35235-8669
Mailing Address5890 Valley Rd Ste 200Birmingham, AL 35235-8669 · (205) 655-7600
Phone(205) 655-7600
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014
Enumeration DateAugust 31, 2014
Last NPPES UpdateSeptember 16, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2021
✔ NPI 1366842015 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 · 1-082096
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.
5890 VALLEY RD STE 200, Birmingham, AL 35235
Open in Google Maps ↗

Other Names 1

Other Name (5)Mr. Rick Gramling Dnp, Crnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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

Dr. James Richard Gramling Dnp, 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 ID4587987730
PECOS Enrollment IDI20141219001775
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 11

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 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.
129 services99 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.
79 services60 patients
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.
73 services15 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.
52 services26 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
41 services41 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.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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 4

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

BRANDON PAUL MOORE D.O.
Internal Medicine
5890 VALLEY RD STE 200
BIRMINGHAM, AL 35235
Jefferson County (205) 655-7600
DR. LEFFERAGE KENT ROBBINS JR. MD
Family Medicine
5890 VALLEY RD STE 200
BIRMINGHAM, AL 35235
Jefferson County (205) 655-7600
KACI WEAVER
Nurse Practitioner (Acute Care)
5890 VALLEY RD STE 200
BIRMINGHAM, AL 35235
Jefferson County (205) 655-7600
DR. GARY BRIAN GRAY MD
Family Medicine
5890 VALLEY RD STE 200
BIRMINGHAM, AL 35235
Jefferson County (205) 655-7600

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 Gramling's NPI number?

The NPI number for James Gramling is 1366842015. It was assigned to this individual provider in the NPPES registry on August 31, 2014. The provider is also known as Mr. Rick Gramling Dnp, Crnp.

Where is James Gramling located?

James Gramling practices at 5890 Valley Rd Ste 200, Birmingham, AL 35235. The listed phone number is (205) 655-7600.

What is James Gramling's specialty?

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

Is James Gramling enrolled in Medicare?

Yes. James Gramling 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 Gramling 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 Gramling 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 Gramling was last updated on September 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.