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THOMAS JORDAN HARTLINE CRNP
NPI 1902770613
Nurse Practitioner in Boaz, AL

Active since October 04, 2025PECOS EnrolledAccepts Medicare Assignment
2505 US HIGHWAY 431, BOAZ, AL 35957(256) 593-8310 Get Directions Write a Review

NPPES record last updated: October 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas Jordan Hartline Crnp NPPES

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

THOMAS JORDAN HARTLINE CRNP (NPI 1902770613) is an individual nurse practitioner in Boaz, Alabama, licensed in Alabama (1-182090) and active in the NPI registry since October 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902770613
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameTHOMAS JORDAN HARTLINECredential: CRNP
Location Address2505 US HIGHWAY 431Boaz, AL 35957-5908
Mailing Address1288 Kirk RdRainsville, AL 35986-6029
Phone(256) 593-8310
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateOctober 4, 2025
NPPES CertifiedOctober 3, 2025
✔ NPI 1902770613 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 · 1-182090
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.
2505 US HIGHWAY 431, Boaz, AL 35957
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, UnitedHealthcare.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

Thomas Jordan Hartline 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 ID8426543810
PECOS Enrollment IDI20251223002133
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

2

Medicare enrollment records show Thomas Hartline reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Marshall Medical Center South Diamond Hospital Services
0.1 mi
Family Medicine
2505 US HIGHWAY 431
Boaz, AL 35957
  • Reassigned Medicare billing, Alabama enrollment
  • 10 clinicians in this Medicare group
NPI 1063741841 (256) 593-8310
Mmc Inpatient Physician Services
12 mi
Hospitalist
2505 US HIGHWAY 431
Boaz, AL 35957
  • Reassigned Medicare billing, Alabama enrollment
  • 26 clinicians in this Medicare group
NPI 1669362844 (256) 801-6048

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 35957 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 20

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

ANNA ASHLEY ALLEN CRNP
Nurse Practitioner (Family)
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 593-8310
MRS. KAYLA STAPP GABLE FNP
Nurse Practitioner (Family)
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 593-8310
MARSHALL MEDICAL CENTER SOUTH DIAMOND HOSPITAL SERVICES
Family Medicine
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 593-8310
MRS. KELSEY TUCKER GEER CRNP
Nurse Practitioner (Family)
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 490-7893
LAUREN ROSSON
Nurse Practitioner (Family)
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 840-3465
ADAM LEE STRICKLAND NP
Nurse Practitioner
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (615) 928-6268
MRS. JOY ROTTON BOLT CRNA
Nurse Anesthetist, Certified Registered
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 593-8310
MARSHALL RADIOLOGY PC
Radiology (Diagnostic Radiology)
2505 US HIGHWAY 431
BOAZ, AL 35957
Marshall County (256) 840-3688

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 Thomas Hartline's NPI number?

The NPI number for Thomas Hartline is 1902770613. It was assigned to this individual provider in the NPPES registry on October 4, 2025.

Where is Thomas Hartline located?

Thomas Hartline practices at 2505 Us Highway 431, Boaz, AL 35957. The listed phone number is (256) 593-8310.

What is Thomas Hartline's specialty?

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

Is Thomas Hartline enrolled in Medicare?

Yes. Thomas Hartline 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 Thomas Hartline's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Hartline reassigns Medicare benefits to 2 organizations: Marshall Medical Center South Diamond Hospital Services (Boaz, AL) and Mmc Inpatient Physician Services (Boaz, AL). 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 Thomas Hartline's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Hartline accept?

Health plans from Blue Cross and Blue Shield of Alabama and UnitedHealthcare list Thomas Hartline 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 Thomas Hartline was last updated on October 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.