SPARKS HEALTHCARE CLINIC
NPI 1396498853
Nurse Practitioner - Adult Health in Huntsville, AL

Active since February 03, 2022
3503 MEMORIAL PKWY NW STE D, HUNTSVILLE, AL 35810(205) 442-6541 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2022, Feb 3, 2022 (2 updates tracked since 2022).

About Sparks Healthcare Clinic NPPES

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

SPARKS HEALTHCARE CLINIC (NPI 1396498853) is a healthcare organization registered as an adult health in Huntsville, Alabama and active in the NPI registry since February 2022. The organization lists Mary E Sparks, Crnp/owner, as its authorized official.

NPPES Registry Identity

NPI1396498853
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameSPARKS HEALTHCARE CLINIC
Location Address3503 MEMORIAL PKWY NW STE DHuntsville, AL 35810-2445
Mailing Address3503 Memorial Pkwy Nw Ste DHuntsville, AL 35810-2445 · (205) 442-6541
Organization SubpartNo
Authorized OfficialMary E SparksCrnp/owner · (205) 442-6541
Enumeration DateFebruary 3, 2022
Last NPPES UpdateMay 26, 20222 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
✔ NPI 1396498853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X
3503 MEMORIAL PKWY NW STE D, Huntsville, AL 35810

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sparks Healthcare Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sparks Healthcare Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1144826314
3503 MEMORIAL PKWY NW STE D
Huntsville, AL 35810
(256) 945-7190
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sparks Healthcare Clinic's NPI number?

The NPI number for Sparks Healthcare Clinic is 1396498853. It was assigned to this organization in the NPPES registry on February 3, 2022.

Where is Sparks Healthcare Clinic located?

Sparks Healthcare Clinic is located at 3503 Memorial Pkwy NW Ste D, Huntsville, AL 35810. The listed phone number is (205) 442-6541.

What is Sparks Healthcare Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Sparks Healthcare Clinic enrolled in Medicare?

Yes. Sparks Healthcare Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sparks Healthcare Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Sparks Healthcare Clinic. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sparks Healthcare Clinic was last updated on May 26, 2022. 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.