JEREMY BLAKE TRULL
NPI 1902677859
Registered Nurse in Huntsville, AL
About Jeremy Blake Trull NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY BLAKE TRULL (NPI 1902677859) is an individual registered nurse in Huntsville, Alabama, licensed in Alabama (1-176633) and active in the NPI registry since January 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeremy Blake Trull is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Trull reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Huntsville, AL 35802
- Reassigned Medicare billing, Alabama enrollment
- 111 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
HUNTSVILLE, AL 35801
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 Jeremy Trull's NPI number?
The NPI number for Jeremy Trull is 1902677859. It was assigned to this individual provider in the NPPES registry on January 10, 2024.
Where is Jeremy Trull located?
Jeremy Trull practices at 101 Sivley Rd SW, Huntsville, AL 35801. The listed phone number is (256) 265-0000.
What is Jeremy Trull's specialty?
The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.
Is Jeremy Trull enrolled in Medicare?
Yes. Jeremy Trull is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeremy Trull's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Trull reassigns Medicare benefits to Sportsmed Orthopaedic Specialists (Huntsville, 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 Jeremy Trull'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 Jeremy Trull was last updated on January 10, 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.
# Jeremy Blake Trull · NPI 1902677859
Registered Nurse provider in Huntsville, Alabama. Individual provider, active in the CMS NPPES registry since January 10, 2024.
## Identity
- **NPI:** 1902677859 (Entity type: Individual)
- **Enumerated:** January 10, 2024
- **Primary specialty:** Registered Nurse · taxonomy 163W00000X
- **State license:** 1-176633 (Alabama)
- **Sole proprietor:** No
## Practice location
- **Address:** 101 SIVLEY RD SW, Huntsville, AL 35801-4470
- **Phone:** (256) 265-0000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sportsmed Orthopaedic Specialists (NPI 1508947839, Huntsville, AL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 10, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902677859) · Data from the CMS NPPES public registry.