THERESA DARLENE PUTMAN CRNP
NPI 1609114198
Nurse Practitioner in Reform, AL

Active since January 18, 2013PECOS EnrolledAccepts Medicare Assignment
108 4TH AVE SW STE A, REFORM, AL 35481(205) 375-6251 Get Directions Write a Review

NPPES record last updated: November 19, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 19, 2019, Jul 31, 2019 (2 updates tracked since 2019).

About Theresa Darlene Putman Crnp NPPES

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

THERESA DARLENE PUTMAN CRNP (NPI 1609114198) is an individual nurse practitioner in Reform, Alabama, licensed in Alabama (1-074182) and active in the NPI registry since January 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tuscaloosa, and is a graduate of University Of Alabama School Of Medicine (1994).

NPPES Registry Identity

NPI1609114198
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTHERESA DARLENE PUTMANCredential: CRNP
Location Address108 4TH AVE SW STE AReform, AL 35481-8018
Mailing Address108 4th Ave Sw Ste AReform, AL 35481-8018 · (205) 375-6251
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 1994
Enumeration DateJanuary 18, 2013
Last NPPES UpdateNovember 19, 20192 updates tracked since enumeration
NPI 1609114198 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 · 1-074182
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.
108 4TH AVE SW STE A, Reform, AL 35481

Secondary Practice Location 1

Location 11100 Ruby Tyler PkwyTuscaloosa, AL 35404-2959 · Phone (205) 759-2582 · Fax (205) 759-2985

Accepted 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

Theresa Darlene Putman 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 ID8325283989
PECOS Enrollment IDI20130402000284
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 15

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
461 services85 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
175 services41 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.
173 services124 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.
156 services21 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
135 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
62 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35481 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.

Referred Medical Equipment & Supplies CMS DME claims 14

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers11 claims11 services$16.12 avg. paid by Medicare
Wheelchair accessory, headrest, cushioned, any type, including fixed mounting hardware, each E0955
DME-Wheelchairs · category DD021N
1 supplier16 claims16 services$167.36 avg. paid by Medicare
Wheelchair accessory, power seating system, combination tilt and recline, with mechanical shear reduction E1007
DME-Wheelchairs · category DD021N
1 supplier28 claims28 services$7,038.31 avg. paid by Medicare
Wheelchair accessory, addition to power seating system, center mount power elevating leg rest/platform, complete system, any type, each E1012
DME-Wheelchairs · category DD021N
1 supplier29 claims29 services$938.08 avg. paid by Medicare
Wheelchair accessory, manual swingaway, retractable or removable mounting hardware for joystick, other control interface or positioning accessory E1028
DME-Wheelchairs · category DD021N
1 supplier24 claims49 services$162.59 avg. paid by Medicare
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
2 suppliers11 claims11 services$76.80 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 8

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

Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Social Worker (Clinical)
108 4TH AVE SW STE A
REFORM, AL 35481
Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Nurse Practitioner (Family)
108 4TH AVE SW STE A
REFORM, AL 35481
Family Medicine
108 4TH AVE SW STE A
REFORM, AL 35481
Nurse Practitioner (Family)
108 4TH AVE SW STE A
REFORM, AL 35481
Psychiatry & Neurology (Neurology)
108 4TH AVE SW STE A
REFORM, AL 35481

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 Theresa Putman's NPI number?

The NPI number for Theresa Putman is 1609114198. It was assigned to this individual provider in the NPPES registry on January 18, 2013.

Where is Theresa Putman located?

Theresa Putman practices at 108 4th Ave SW Ste A, Reform, AL 35481. The listed phone number is (205) 375-6251.

What is Theresa Putman's specialty?

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

Is Theresa Putman enrolled in Medicare?

Yes. Theresa Putman 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 Theresa Putman 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 Theresa Putman 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 Theresa Putman was last updated on November 19, 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.