Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Krissy R Custis, CRNP

Individual provider Acute Care Nurse Practitioner · NPI 1912339615

Mrs. Krissy R Custis, CRNP is a Nurse Practitioner in Birmingham, Alabama. Qualified in 2013, 13 years ago. Practices with Iatria General Medicine LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama.

Years since qualifying
13
Licensed in
AL
In the registry since
2013
What do these letters mean?
CRNP — Certified Registered Nurse Practitioner
The title Pennsylvania and some other states use for a nurse practitioner.

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Practice location Address checks out

48 Medical Park Dr E Ste 150
Birmingham, AL 35235-3456
Phone: (205) 396-2225
Fax: (844) 689-0677
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 50 Medical Park Dr E, Birmingham, AL 35235-3401 — (205) 838-3104

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 1-102363 (AL)

Record details

NPI number1912339615
Entity typeIndividual (Type 1)
GenderFemale
Credentials CRNP
Sole proprietorYes
NPI enumeratedAugust 5, 2013
Last updated in NPPESOctober 20, 2025
Certification dateOctober 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Iatria General Medicine Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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