Wanda Lynn Pezant, APRN
Individual provider Active NPI Family Nurse Practitioner · Jackson, LA
NPI 1013266162 · NPPES record last updated Feb 27, 2014
Key facts
- NPI
- 1013266162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 0812093 (LA)
- Practice address
- 3501 Highway 10
Jackson, LA 70748-6238 - Phone
- (225) 683-5292
- Fax
- (225) 683-3411
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hulin Urgent Care Services LLC
Practice addresses (Care Compare)
300 Hospital Rd
New Roads, LA 70760-2621
Phone (225) 310-6501
Hospital & facility affiliations
- Pointe Coupee General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121024000640 | LA | Practitioner - Nurse Practitioner | 9133379332 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0812093 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Urgent Care, LLC | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current |
Accepting new patients | |
| Hulin Urgent Care Services LLC | Current |
Accepting new patients | |
| Lake Urgent Care Ascension LLC | Current |
Accepting new patients | |
| LCMC Urgent Care LLC | Current |
Accepting new patients | |
| Lourdes After Hours LLC | Current |
Accepting new patients | |
| Convenient Care LLC | Current |
Accepting new patients | |
| Lsuhn Billing LLC | Current |
Accepting new patients | |
| Hulin Urgent Care Services LLC | Current |
Accepting new patients | |
| Lourdes After Hours LLC | Current |
Accepting new patients | |
| Convenient Care LLC | Current |
Accepting new patients |
Locations
9808 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 224-8121
5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280
2380 Oneal Ln
Ste A
Baton Rouge, LA 70816
Phone (225) 214-3714
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
1821 Rees St
Breaux Bridge, LA 70517
Phone (337) 332-0661
1012 Petroleum Pkwy
Broussard, LA 70518
Phone (337) 551-4946
3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675
1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166
826 Harrison Ave
#A
New Orleans, LA 70124
Phone (504) 309-7108
300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501
58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703
14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930
117 N Service Rd E
Ruston, LA 71270
Phone (318) 406-0360
2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 0812093 | LA | Yes |
Addresses
Primary practice location
3501 Highway 10
Jackson, LA 70748-6238
Mailing address
PO Box 395
Clinton, LA 70722-0395
Phone (225) 683-5292
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2318543 | Medicaid | LA |
Other providers in Jackson, LA
- Stacie Nwabueze
- Gabriel I Onor Sr.
- Robert William Papcsy III
- Waylon Morris Parker
- Alan Ray Perego
- Primary Care Providers for a Healthy Feliciana, Inc.
- Joshua A Primeaux
- R.C.McDonald Co Inc
- S.O.P.E. Transportation, LLC
- Dahn Savell
All providers in Jackson, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.