MRS. KRISSY R CUSTIS CRNP
NPI 1912339615
Nurse Practitioner - Acute Care in Birmingham, AL

Active since August 05, 2013PECOS EnrolledAccepts Medicare Assignment
48 MEDICAL PARK DR E STE 150, BIRMINGHAM, AL 35235(205) 396-2225(844) 689-0677 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mrs. Krissy R Custis Crnp NPPES

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

MRS. KRISSY R CUSTIS CRNP (NPI 1912339615) is an individual acute care provider in Birmingham, Alabama, licensed in Alabama (1-102363) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Birmingham, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1912339615
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMRS. KRISSY R CUSTISCredential: CRNP
Location Address48 MEDICAL PARK DR E STE 150Birmingham, AL 35235-3456
Mailing Address7051 Lake Run DriveBirmingham, AL 35242 · (205) 838-3245
Fax(844) 689-0677
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 5, 2013
Last NPPES UpdateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
NPI 1912339615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in AL · 1-102363
48 MEDICAL PARK DR E STE 150, Birmingham, AL 35235

Secondary Practice Location 1

Location 150 Medical Park Dr EBirmingham, AL 35235-3401 · Phone (205) 838-3104

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Krissy R Custis 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 ID3870803745
PECOS Enrollment IDI20151104002026
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.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
78 services77 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
30 services30 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
28 services28 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35235 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

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

Family Medicine
48 MEDICAL PARK DR E STE 150
BIRMINGHAM, AL 35235

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 Krissy Custis's NPI number?

The NPI number for Krissy Custis is 1912339615. It was assigned to this individual provider in the NPPES registry on August 5, 2013.

Where is Krissy Custis located?

Krissy Custis practices at 48 Medical Park Dr E Ste 150, Birmingham, AL 35235. The listed phone number is (205) 396-2225.

What is Krissy Custis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Krissy Custis enrolled in Medicare?

Yes. Krissy Custis 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.

What insurance does Krissy Custis accept?

Health plans from Blue Cross and Blue Shield of Alabama list Krissy Custis 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 Krissy Custis was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.