MELISSA SPRINKLE CRNP
NPI 1396360103
Nurse Practitioner in Irvington, AL
NPI Status: Active since June 08, 2020
Contact Information
12701 PADGETT SWITCH RD
IRVINGTON, AL
ZIP 36544
Phone: (251) 824-2174
Fax: (251) 824-9654
- Individual
- Female
- Nurse Practitioner
- Accepts Insurance
- PECOS Enrolled
About MELISSA SPRINKLE
This page provides the complete NPI Profile along with additional information for Melissa Sprinkle, a provider established in Irvington, Alabama with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1396360103 assigned on June 2020. The practitioner's primary taxonomy code is 363L00000X with license number 1-133670 (AL). The provider is registered as an individual and her NPI record was last updated 5 years ago.
- NPI
- 1396360103
- Provider Name
- MELISSA SPRINKLE CRNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12701 PADGETT SWITCH RD IRVINGTON, AL 36544
- Location Phone
- (251) 824-2174
- Location Fax
- (251) 824-9654
- Mailing Address
- 12701 PADGETT SWITCH RD IRVINGTON, AL 36544
- Mailing Phone
- (251) 824-2174
- Mailing Fax
- (251) 824-9654
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-08-2020
- Last Update Date
- 06-08-2020
- Code Navigator
A nurse practitioner (NP) like Melissa Sprinkle is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 1-133670
- License State
- AL
- Taxonomy Description
- (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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue HSA Bronze - PPO
- Blue Protect - PPO
- Blue Saver Bronze - PPO
- Blue Value Gold - PPO
- Blue Value Silver - PPO
- Blue Access Gold for Business - PPO
- Blue Choice Platinum for Business - PPO
- Blue HSA Silver for Business - PPO
- Blue Saver Bronze for Business - PPO
- Blue Saver Gold for Business - PPO
- Blue Secure Gold for Business - PPO
- Blue Secure Silver for Business - PPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) - HMO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
- UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) - HMO
- UHC Bronze Standard - HMO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) - HMO
- UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) - HMO
- UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Melissa Sprinkle is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 36544 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $81.9
- Minimum New Patient Price $52.65
- Maximum New Patient Price $161.63
- Average New Patient Copayment $20.47
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.4
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.72
- Minimum Established Patient Price $16.56
- Maximum Established Patient Price $131.65
- Average Established Patient Copayment $23.43
- Minimum Established Patient Copayment $4.14
- Maximum Established Patient Copayment $32.91
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MELISSA SPRINKLE CRNP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 3 | 6 | 0 | 1 | 0 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 6 | 6 | 0 | 1 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 6 + 6 + 0 + 1 + 0 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1396360103 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275729246 | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1548456510 | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1811183882 | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1164722823 | LABORATORY CORPORATION OF AMERICA HOLDINGS Organization | Clinical Medical Laboratory | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2328 |
| 1952612160 | MRS. LOAN CRIDER LCSW Individual | Social Worker | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1104222983 | ALEFYAH TAQUI LCSW Individual | Social Worker (Clinical) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1821495920 | MRS. KENDRA MARIE JONES LCSW/PIP Individual | Social Worker (Clinical) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1629381686 | MRS. MARY-CLAIRE MARSHALL BA, MA Individual | Marriage & Family Therapist | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2310 |
| 1972081818 | MS. LISA WEBER LMSW Individual | Social Worker | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1235613456 | TRACI LEAVINES RN Individual | Registered Nurse | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1508274911 | BRITTANY HABERMAN LPC Individual | Counselor (Professional) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2310 |
| 1275090300 | MICHAEL A PICKERT PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1366496077 | SHERRY MORGAN MEADOWS MD Individual | Internal Medicine | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1720305030 | DR. SONIA SINGH GREVENITIS M.D. Individual | Pediatrics | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1790734788 | DR. RAYMOND NMN BROUGHTON MD Individual | Internal Medicine | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1427797851 | ASHLEY MCBRIDE CRNP Individual | Nurse Practitioner (Family) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1699937557 | ELICEIA DIONNE JACKSON M.D. Individual | Family Medicine | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1396794426 | BAYOU LA BATRE AREA HEALTH DEVELOPMENT BOARD, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1932966918 | ALYSSA FERNANDEZ DAVIS NP Individual | Nurse Practitioner (Family) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
| 1013320167 | MS. CARLA ANN BAXLEY CRNP Individual | Nurse Practitioner (Family) | 12701 PADGETT SWITCH RD IRVINGTON, AL 36544 (251) 824-2174 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396360103, enumerated in the NPI registry as an "individual" on June 08, 2020
The provider is located at 12701 Padgett Switch Rd Irvington, Al 36544 and the phone number is (251) 824-2174
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
The provider might be accepting Accepts: Blue Cross and Blue Shield of Alabama and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $81.9 with an average copayment of $20.47 for new patient appointments. Established patients should expect a typical charge of $93.72 and an average copayment of 23.43. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on June 08, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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