1. Home
  2. Directory
  3. Alabama
  4. Madison
  5. Pediatrics
  6. NPI Profile

KRESTA LEE SUNDERMAN CRNP
NPI 1841050606
Pediatrics in Madison, AL

Active since March 20, 2024PECOS Enrolled
12205 COUNTY LINE RD STE C, MADISON, AL 35758(256) 258-8319(256) 489-4070 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kresta Lee Sunderman Crnp NPPES

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

KRESTA LEE SUNDERMAN CRNP (NPI 1841050606) is an individual pediatrics provider in Madison, Alabama, licensed in Alabama (1-173495) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841050606
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKRESTA LEE SUNDERMANCredential: CRNP
Location Address12205 COUNTY LINE RD STE CMadison, AL 35758-7720
Mailing Address434 Clydebank DrMadison, AL 35758-6246 · (254) 291-2178
Phone(256) 258-8319
Fax(256) 489-4070
Sole ProprietorNo
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1841050606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in AL · 1-173495
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12205 COUNTY LINE RD STE C, Madison, AL 35758
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kresta Lee Sunderman 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 Kresta Sunderman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Reagan's Clinic, LLC
Same address
Developmental - Behavioral Pediatrics
12205 COUNTY LINE RD STE C
Madison, AL 35758
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
NPI 1558123190 (563) 424-0459

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 35758 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 5

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

DR. MARC ALAN HULTQUIST D.O.
Pediatrics
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 258-8319
STEPHANIE FAITH BARNETT CRNP
Nurse Practitioner (Family)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 246-8575
SOUTHEASTERN PODIATRY LLC
Podiatrist
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 684-8247
REAGAN'S CLINIC, LLC
Pediatrics (Developmental - Behavioral Pediatrics)
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (563) 424-0459
SHANE JONES DPM
Podiatrist
12205 COUNTY LINE RD STE C
MADISON, AL 35758
Madison County (256) 684-8247

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 Kresta Sunderman's NPI number?

The NPI number for Kresta Sunderman is 1841050606. It was assigned to this individual provider in the NPPES registry on March 20, 2024.

Where is Kresta Sunderman located?

Kresta Sunderman practices at 12205 County Line Rd Ste C, Madison, AL 35758. The listed phone number is (256) 258-8319.

What is Kresta Sunderman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kresta Sunderman enrolled in Medicare?

Yes. Kresta Sunderman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kresta Sunderman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kresta Sunderman reassigns Medicare benefits to Reagan's Clinic, LLC (Madison, 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 Kresta Sunderman'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 Kresta Sunderman was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.