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MRS. DONETTE RAE SURVANCE NP
NPI 1487047775
Nurse Practitioner - Family in Montgomery, AL

Active since March 10, 2015PECOS EnrolledAccepts Medicare Assignment
4749 BERRY BLVD, MONTGOMERY, AL 36106(334) 747-8850(334) 747-8860 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Donette Rae Survance Np NPPES

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

MRS. DONETTE RAE SURVANCE NP (NPI 1487047775) is an individual family provider in Montgomery, Alabama, licensed in Alabama (1-161525) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with University Of Virginia Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1487047775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DONETTE RAE SURVANCECredential: NP
Location Address4749 BERRY BLVDMontgomery, AL 36106-3079
Mailing Address301 Brown Springs RdMontgomery, AL 36117-7005 · (334) 273-4159 · Fax (334) 273-4290
Phone(334) 747-8850
Fax(334) 747-8860
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 10, 2015
Last NPPES UpdateJanuary 29, 2018
✔ NPI 1487047775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1-161525✔ Licensed in SC · 19336
4749 BERRY BLVD, Montgomery, AL 36106
Open in Google Maps ↗

Other Identifiers 3

Other102I506794AL · Medicare
Other512-1203AL · Bcbs
Medicaid206270AL

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

Mrs. Donette Rae Survance Np 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 ID648599464
PECOS Enrollment IDI20240817000450
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.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number490009
Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County
Emergency services Birthing friendly

Novant Prince William Medical Center

Acute Care Hospitals · Manassas, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490045
Location8700 Sudley RdManassas, VA 20110 · Manassas City County
Emergency services Birthing friendly

Uva Health Haymarket Medical Center

Acute Care Hospitals · Haymarket, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490144
Location15225 Healthcote BoulevardHaymarket, VA 20169 · Prince William County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36106 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.

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.

DR. JOHN W TINGLIN MD
Specialist
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280
DR. HOWARD CAREY SNIDER JR. MD
Surgery
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280
ALABAMA SURGICAL CONSULTANTS
Surgery
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280
DR. LIVINGSTON LEE EADDY JR. MD
Specialist
4749 BERRY BLVD
MONTGOMERY, AL 36106
Montgomery County (334) 271-0280

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 Donette Survance's NPI number?

The NPI number for Donette Survance is 1487047775. It was assigned to this individual provider in the NPPES registry on March 10, 2015.

Where is Donette Survance located?

Donette Survance practices at 4749 Berry Blvd, Montgomery, AL 36106. The listed phone number is (334) 747-8850.

What is Donette Survance's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Donette Survance enrolled in Medicare?

Yes. Donette Survance 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.

Is Donette Survance affiliated with any hospitals?

According to CMS data, Donette Survance is affiliated with University Of Virginia Medical Center, Novant Prince William Medical Center and Uva Health Haymarket Medical Center.

When was this NPI record last updated?

The NPPES record for Donette Survance was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.