Individual provider Active NPI

Anna Sartor Titus, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1003633116
Registry record updated Sep 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237224 Issued in LA
Practice address
2408 Duval Dr
Monroe, LA 71201-2986
Phone
(318) 516-2611
NPI assigned
Sep 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 237224 LA
Primary Care Nurse Practitioner 363LP2300X 237224 LA
Family Nurse Practitioner 363LF0000X 237224 LA Primary

Addresses

Primary practice location

2408 Duval Dr
Monroe, LA 71201-2986

Mailing address

304 Pace Rd
West Monroe, LA 71292-8426
Phone (318) 376-9505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241201000062 LA Practitioner - Nurse Practitioner 4688109507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Mohs and Skin Surgery Center, LLCGroup PAC ID 4183095912, 2 clinicians

Practice addresses (Care Compare)

2408 Duval Dr
Monroe, LA 71201-2986
Phone (318) 516-2611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
237224LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Mohs & Skin Surgery Center, LLC CurrentSince Oct 22, 2024 Accepting new patients

Locations

2408 Duval Dr
Monroe, LA 71201
Phone (318) 516-2611

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1726876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726876800000",
    "number": "1003633116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PACE RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712928426",
            "telephone_number": "318-376-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 DUVAL DR",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012986",
            "telephone_number": "318-516-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "ANNA",
        "middle_name": "SARTOR",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-21",
        "last_updated": "2024-09-21",
        "certification_date": "2024-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "237224",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "237224",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.