Mr Donald Upton, CRNP - Medicare Nurse Practitioner in Opelika, AL

  1. Home
  2. Nurse Practitioner
  3. AL
  4. Opelika
Mr Donald Upton, CRNP is a medicare enrolled "Nurse Practitioner" in Opelika, Alabama. His current practice location is 1941 1st Ave, Opelika, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 745-3534.

Mr Donald Upton is licensed to practice in Alabama (license number 1-102335) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1831320225.

Contact Information

Mr Donald Upton, CRNP
1941 1st Ave,
Opelika, AL 36801-5403
(334) 745-3534
(334) 745-3535

Map and Direction




Provider's Profile

Full NameMr Donald Upton
GenderMale
SpecialityNurse Practitioner
Location1941 1st Ave, Opelika, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831320225
  • Provider Enumeration Date: 08/03/2009
  • Last Update Date: 11/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 9032255005
  • Enrollment ID: I20091005000507

Medical Identifiers

Medical identifiers for Mr Donald Upton such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831320225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-102335 (Alabama)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Donald Upton allows following entities to bill medicare on his behalf.
Entity NameEric Hemberg, Md, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336259027
PECOS PAC ID: 2062416811
Enrollment ID: O20060908000336
Entity NameSharma Family Medicine & Consulting, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376970673
PECOS PAC ID: 2365678299
Enrollment ID: O20131122001099

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Donald Upton is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Donald Upton, CRNP
101 24th St,
Opelika, AL 36801-6253

Ph: (334) 610-2222		Mr Donald Upton, CRNP
1941 1st Ave,
Opelika, AL 36801-5403

Ph: (334) 745-3534

Reviews and Comments


Nurse Practitioner Nurses in Opelika, AL

Brian Clay Young, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 638 Lee Road 483, Opelika, AL 36804
Phone: 770-547-3632    
Mrs. Brandy D Mcculloch, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801
Phone: 334-528-1112    Fax: 334-528-1547
Ms. Karen Ann Land, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2401 Village Professional Pkwy, Opelika, AL 36801
Phone: 334-749-8121    Fax: 334-749-6166
Sandy Whitaker, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3320 Skyway Dr, Suite 801, Opelika, AL 36801
Phone: 334-821-0238    Fax: 334-821-6685
Mrs. Nancy Mcdonald, CRNP, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801
Phone: 334-528-7200    Fax: 334-528-3470
Mrs. Sylvia Anderson, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 121 N 20th St, #6, Opelika, AL 36801
Phone: 334-749-3385    Fax: 334-745-7672
Kristin Ann Mealer, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 Lee Road 29, Opelika, AL 36804
Phone: 334-733-0336    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.