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TABITHA MCMULLIN FLETCHER CRNP
NPI 1780128421
Nurse Practitioner - Gerontology in Hoover, AL

Active since December 15, 2016PECOS Enrolled
5330 STADIUM TRACE PKWY STE 150, HOOVER, AL 35244(205) 588-1748(205) 558-2554 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2026, Mar 19, 2026, Jul 21, 2022 and 2 more (5 updates tracked since 2016).

About Tabitha Mcmullin Fletcher Crnp NPPES

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

TABITHA MCMULLIN FLETCHER CRNP (NPI 1780128421) is an individual gerontology provider in Hoover, Alabama, licensed in Alabama (1-143204) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Hoover.

NPPES Registry Identity

NPI1780128421
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTABITHA MCMULLIN FLETCHERCredential: CRNP
Location Address5330 STADIUM TRACE PKWY STE 150Hoover, AL 35244-4528
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (205) 731-9701 · Fax (205) 297-9411
Phone(205) 588-1748
Fax(205) 558-2554
Sole ProprietorNo
Enumeration DateDecember 15, 2016
Last NPPES UpdateApril 9, 20265 updates tracked since enumeration
NPPES CertifiedApril 9, 2026
✔ NPI 1780128421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in AL · 1-143204
5330 STADIUM TRACE PKWY STE 150, Hoover, AL 35244
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Other Names 1

Former Name (1)Tabitha Mcmullin

Secondary Practice Location 1

Location 12321 John Hawkins PkwyHoover, AL 35244-3540 · Phone (205) 989-7254

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tabitha Mcmullin Fletcher 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 Reassignment

Medicare enrollment records show Tabitha Fletcher reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alliance Primary Care LLC
Same address
Family Medicine
5330 STADIUM TRACE PKWY STE 150
Hoover, AL 35244
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group
NPI 1457032500 (205) 588-1748

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 35244 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 3

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

DR. ANISA SSENGOBA-UBOGU MD
Family Medicine
5330 STADIUM TRACE PKWY STE 150
HOOVER, AL 35244
Shelby County (205) 588-1748
ALLIANCE PRIMARY CARE LLC
Family Medicine
5330 STADIUM TRACE PKWY STE 150
HOOVER, AL 35244
Shelby County (205) 588-1748
COURTNEY L HOEPPNER APRN
Nurse Practitioner (Psychiatric/Mental Health)
5330 STADIUM TRACE PKWY STE 150
HOOVER, AL 35244
Shelby County (205) 968-1518

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 Tabitha Fletcher's NPI number?

The NPI number for Tabitha Fletcher is 1780128421. It was assigned to this individual provider in the NPPES registry on December 15, 2016. The provider is also known as Tabitha Mcmullin.

Where is Tabitha Fletcher located?

Tabitha Fletcher practices at 5330 Stadium Trace Pkwy Ste 150, Hoover, AL 35244. The listed phone number is (205) 588-1748.

What is Tabitha Fletcher's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tabitha Fletcher enrolled in Medicare?

Yes. Tabitha Fletcher is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tabitha Fletcher's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tabitha Fletcher reassigns Medicare benefits to Alliance Primary Care LLC (Hoover, AL). The 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 Tabitha Fletcher's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tabitha Fletcher was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.