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HEATHER EDENFIELD CRNP
NPI 1558728972
Nurse Practitioner in Birmingham, AL

Active since January 15, 2016PECOS Enrolled
81.81/100
CMS Quality Rating
833 PRINCETON AVE SW, BIRMINGHAM, AL 35211(205) 786-2776(205) 786-6227 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jul 12, 2017 and 1 more (4 updates tracked since 2016).

About Heather Edenfield Crnp NPPES

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

HEATHER EDENFIELD CRNP (NPI 1558728972) is an individual nurse practitioner in Birmingham, Alabama, licensed in Alabama (1-119273) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Birmingham.

NPPES Registry Identity

NPI1558728972
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameHEATHER EDENFIELDCredential: CRNP
Location Address833 PRINCETON AVE SWBirmingham, AL 35211-1323
Mailing Address833 Princeton Avenue Sw, Pob Iii, Suite 200aBirmingham, AL 35211-1303 · (205) 786-2776 · Fax (205) 786-6227
Phone(205) 786-2776
Fax(205) 786-6227
Sole ProprietorNo
Enumeration DateJanuary 15, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1558728972 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 · 1-119273
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.
833 PRINCETON AVE SW, Birmingham, AL 35211
Open in Google Maps ↗

Secondary Practice Location 1

Location 11808 7th Ave S, BDB 502Birmingham, AL 35233-1912 · Phone (205) 934-3229

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Edenfield Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Heather Edenfield reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Alabama Thoracic Surgery, LLC
4.8 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2018 BROOKWOOD MEDICAL CTR DR STE C-214
Birmingham, AL 35209
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1740978287 (205) 453-1100
Stv Cardiothoracic Surgeons LLC
7.9 mi
Thoracic Surgery (Cardiothoracic Vascular Surgery)
3056 HEALTHY WAY STE 100
Birmingham, AL 35243
  • Reassigned Medicare billing, Alabama enrollment
  • 22 clinicians in this Medicare group
NPI 1649624255 (205) 930-2925
Baptist Health Centers, LLC
42 mi
Family Medicine
47344 US HIGHWAY 78
Lincoln, AL 35096
  • Reassigned Medicare billing, Alabama enrollment
  • 430 clinicians in this Medicare group
NPI 1770547804 (205) 763-7848

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35211 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.

81.81/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.39
Promoting Interoperability95
Improvement Activities40
Cost82.11

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers12 claims12 services$62.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. SARAH BRACHER MD
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7663
MORGAN HYDE STEADING CRNP
Nurse Practitioner (Family)
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 786-2776
DR. EMILY CAROLINE HOUSTON DO
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7694
KEVIN C. STAUDINGER M.D.
Preventive Medicine (Occupational Medicine)
833 PRINCETON AVE SW, POB II; SUITE 150
BIRMINGHAM, AL 35211
Jefferson County (205) 781-2699
CHRISTOPHER CARLSON CRNP
Nurse Practitioner (Acute Care)
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 786-2776
DR. DANIELLE ELMORE DO
Internal Medicine
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 783-7694
GABRIEL TOULIATOS DO
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW, POB 3, SUITE 200E
BIRMINGHAM, AL 35211
Jefferson County (205) 599-4823
LAUREN BEATTY LONG
Student in an Organized Health Care Education/Training Program
833 PRINCETON AVE SW
BIRMINGHAM, AL 35211
Jefferson County (205) 599-4822

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 Heather Edenfield's NPI number?

The NPI number for Heather Edenfield is 1558728972. It was assigned to this individual provider in the NPPES registry on January 15, 2016.

Where is Heather Edenfield located?

Heather Edenfield practices at 833 Princeton Ave SW, Birmingham, AL 35211. The listed phone number is (205) 786-2776.

What is Heather Edenfield's specialty?

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

Is Heather Edenfield enrolled in Medicare?

Yes. Heather Edenfield is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Heather Edenfield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Edenfield reassigns Medicare benefits to 3 organizations: Alabama Thoracic Surgery, LLC (Birmingham, AL), Stv Cardiothoracic Surgeons LLC (Birmingham, AL) and Baptist Health Centers, LLC (Lincoln, 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 Heather Edenfield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Edenfield accept?

Health plans from Oscar Insurance Company list Heather Edenfield 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 Heather Edenfield was last updated on July 21, 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.