NPIMap

Individual provider Active NPI

Paula Weaver Gates, APRN

  • Family Nurse Practitioner
  • Elizabeth, LA
National Provider Identifier
1013264878
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07052 Issued in LA
Practice address
4855 Highway 10 West, Suite C
Elizabeth, LA 70638
Phone
(318) 306-6055
Fax
(318) 306-6054
NPI assigned
Aug 11, 2012
Last updated
Nov 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07052 LA Primary

Addresses

Primary practice location

4855 Highway 10 West, Suite C
Elizabeth, LA 70638

Mailing address

912 Bryan St
Cottonport, LA 71327-4288

Other identifiers 3

IdentifierTypeStateIssuer
021512OtherLALA PA ID
2345419MedicaidLA
AP07052OtherLA:APRN LICENSE NO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131115000224 LA Practitioner - Nurse Practitioner 6507092822 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Louisiana Physicians, LLCGroup PAC ID 9335598499, 55 clinicians
Collective Rural Healthcare System LLCGroup PAC ID 1254701121, 2 clinicians

Practice addresses (Care Compare)

3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122

4855 Hwy 10 W
Suite C Elizabeth Fam Cli
Elizabeth, LA 70638-4029
Phone (318) 634-5600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Collective Rural Healthcare System LLC CurrentSince Oct 1, 2024 Accepting new patients
Newell E. Gauthier, Jr. MD PastSince Nov 24, 2024 Accepting new patients
Louisiana Health Care Practitioners LLC PastSince Oct 1, 2024 Accepting new patients

Locations

912 Bryan St
Cottonport, LA 71327
Phone (318) 876-3696

4855 Highway 10
Ste C
Elizabeth, LA 70638
Phone (318) 634-5600

Interoperability endpoints

  • Direct secure messaging: paula.gates.1@27423.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1344643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1013264878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 BRYAN ST",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713274288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 HIGHWAY 10 WEST, SUITE C",
            "city": "ELIZABETH",
            "state": "LA",
            "postal_code": "70638",
            "telephone_number": "318-306-6055",
            "fax_number": "318-306-6054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GATES",
        "first_name": "PAULA",
        "middle_name": "WEAVER",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-11",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA PA ID",
            "identifier": "021512",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2345419",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": ":APRN LICENSE NO",
            "identifier": "AP07052",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, LA

Sources for this page

Verify at the official NPI Registry.