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EMILY DEFOURNEAUX CRNP
NPI 1841761814
Nurse Practitioner - Family in Madison, AL

Active since December 16, 2018PECOS EnrolledAccepts Medicare Assignment
92.44/100
CMS Quality Rating
44 HUGHES RD STE 100, MADISON, AL 35758(850) 233-3376(850) 522-8354 Get Directions Write a Review

NPPES record last updated: June 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 17, 2021, Dec 16, 2018 (2 updates tracked since 2018).

About Emily Defourneaux Crnp NPPES

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

EMILY DEFOURNEAUX CRNP (NPI 1841761814) is an individual family provider in Madison, Alabama, licensed in Alabama (1-144863) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2018).

NPPES Registry Identity

NPI1841761814
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEMILY DEFOURNEAUXCredential: CRNP
Location Address44 HUGHES RD STE 100Madison, AL 35758-3045
Mailing Address2505 Harrison AvePanama City, FL 32405-4464 · (502) 333-3768 · Fax (850) 522-8354
Phone(850) 233-3376
Fax(850) 522-8354
Sole ProprietorYes
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2018
Enumeration DateDecember 16, 2018
Last NPPES UpdateJune 17, 20212 updates tracked since enumeration
NPPES CertifiedJune 17, 2021
✔ NPI 1841761814 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
License✔ Licensed in AL · 1-144863
44 HUGHES RD STE 100, Madison, AL 35758
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Defourneaux 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 ID6103226329
PECOS Enrollment IDI20210609003043
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 Emily Defourneaux reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hh Physicians Network
9.1 mi
Specialist
101 SIVLEY RD SW
Huntsville, AL 35801
  • Reassigned Medicare billing, Alabama enrollment
  • 182 clinicians in this Medicare group
NPI 1891359683 (256) 801-6036
Iris Medical Group
92 mi
Primary Care
9019 OVERLOOK BLVD STE C1B
Brentwood, TN 37027
  • Reassigned Medicare billing, Alabama and Tennessee enrollments
  • 4 clinicians in this Medicare group
NPI 1851025902 (615) 274-9767
Southeastern Dermatology Group PA
316 mi
Dermatology
2505 HARRISON AVE
Panama City, FL 32405
  • Reassigned Medicare billing, Alabama enrollment
  • 19 clinicians in this Medicare group
NPI 1518972231 (850) 233-3376

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

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services12 patients

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.

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.

92.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.11
Improvement Activities40

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 Emily Defourneaux's NPI number?

The NPI number for Emily Defourneaux is 1841761814. It was assigned to this individual provider in the NPPES registry on December 16, 2018.

Where is Emily Defourneaux located?

Emily Defourneaux practices at 44 Hughes Rd Ste 100, Madison, AL 35758. The listed phone number is (850) 233-3376.

What is Emily Defourneaux's specialty?

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

Is Emily Defourneaux enrolled in Medicare?

Yes. Emily Defourneaux 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.

Which organizations bill Medicare for Emily Defourneaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Defourneaux reassigns Medicare benefits to 3 organizations: Hh Physicians Network (Huntsville, AL), Iris Medical Group (Brentwood, TN) and Southeastern Dermatology Group PA (Panama City, FL). 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 Emily Defourneaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Emily Defourneaux accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee, Blue Cross and Blue Shield of Alabama and BlueCross BlueShield of Tennessee and 1 other insurer list Emily Defourneaux 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 Emily Defourneaux was last updated on June 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.