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

JAMES DARRELL MCDONALD CRNP, FNP
NPI 1427590207
Nurse Practitioner in Montgomery, AL

Active since November 10, 2016PECOS EnrolledAccepts Medicare Assignment
94.05/100
CMS Quality Rating
488 SAINT LUKES DR, MONTGOMERY, AL 36117(334) 288-7808(334) 288-8089 Get Directions Write a Review

NPPES record last updated: December 30, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 30, 2019, Dec 17, 2019, Oct 23, 2019 and 1 more (4 updates tracked since 2016).

About James Darrell Mcdonald Crnp, Fnp NPPES

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

JAMES DARRELL MCDONALD CRNP, FNP (NPI 1427590207) is an individual nurse practitioner in Montgomery, Alabama, licensed in Alabama (1-102407) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1427590207
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJAMES DARRELL MCDONALDCredential: CRNP, FNP
Location Address488 SAINT LUKES DRMontgomery, AL 36117-7104
Mailing Address448 Saint Lukes DrMontgomery, AL 36117-7104 · (334) 288-7808 · Fax (334) 288-8089
Phone(334) 288-7808
Fax(334) 288-8089
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateNovember 10, 2016
Last NPPES UpdateDecember 30, 20194 updates tracked since enumeration
✔ NPI 1427590207 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 · 1-102407
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 ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 1-102407 (AL)
488 SAINT LUKES DR, Montgomery, AL 36117
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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 and accepts Medicare assignment

James Darrell Mcdonald Crnp, Fnp 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 ID2668714015
PECOS Enrollment IDI20190503002219, I20251215002969
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 Reassignments

2

Medicare enrollment records show James Mcdonald reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Center For Pain Of Montgomery LLC
7.1 mi
Interventional Pain Medicine
2065 E. S. BLVD., STE. 401
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 64 clinicians in this Medicare group
NPI 1588710289 (334) 288-7808
Fischer Family Medicine P.C.
62 mi
Family Medicine
83745 HIGHWAY 9 STE B
Ashland, AL 36251
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Fischer Family Medicine PC
  • 3 clinicians in this Medicare group
NPI 1124526330 (256) 354-4142

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 2

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.
317 services223 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
30 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36117 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.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

MRS. KATELYN PERRY BARNES NP-C, FNP
Nurse Practitioner
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
SHAROI VICTORIA POWELL CRNP
Nurse Practitioner (Family)
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
DUNCAN SCOTT BOSWELL
Nurse Practitioner (Family)
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
MRS. BRITNEY MORGAN SMITH
Nurse Practitioner (Family)
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
ALLISON CHRISTINE CARTER FNP-C
Nurse Practitioner
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
MRS. JESSIE TAYLOR PERRY CRNP
Nurse Practitioner (Family)
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
MRS. KAILEY HORNE CRNP
Nurse Practitioner (Family)
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808
JOANNE ELIZABETH MACKIN CRNP, FNP
Nurse Practitioner
488 SAINT LUKES DR
MONTGOMERY, AL 36117
Montgomery County (334) 288-7808

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 Mcdonald's NPI number?

The NPI number for James Mcdonald is 1427590207. It was assigned to this individual provider in the NPPES registry on November 10, 2016.

Where is James Mcdonald located?

James Mcdonald practices at 488 Saint Lukes Dr, Montgomery, AL 36117. The listed phone number is (334) 288-7808.

What is James Mcdonald's specialty?

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

Is James Mcdonald enrolled in Medicare?

Yes. James Mcdonald 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.

Which organizations bill Medicare for James Mcdonald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcdonald reassigns Medicare benefits to 2 organizations: The Center For Pain Of Montgomery LLC (Montgomery, AL) and Fischer Family Medicine P.C. (Ashland, AL). Each 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 James Mcdonald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Mcdonald accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list James Mcdonald 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 Mcdonald was last updated on December 30, 2019. 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.