Individual provider Active NPI

Megan Barousse, FNP

  • Family Nurse Practitioner
  • Cankton, LA
National Provider Identifier
1033550686
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO7344 Issued in LA
Practice address
376 Main St
Cankton, LA 70584-5920
Phone
(337) 668-4141
Fax
(337) 668-4386
NPI assigned
Jul 11, 2013
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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 APO7344 LA Primary

Addresses

Primary practice location

376 Main St
Cankton, LA 70584-5920

Mailing address

1091 Jessie Richard Rd
Sunset, LA 70584-5250
Phone (337) 230-6535

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
I20140312000203 LA Practitioner - Nurse Practitioner 5395975478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Barousse Family Clinic LLCGroup PAC ID 2365834835, 2 clinicians

Practice addresses (Care Compare)

408 W Canal St
Church Point, LA 70525-3402
Phone (337) 684-8001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO7344LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Barousse Family Clinic LLC Family CurrentSince Jan 1, 2022 Accepting new patients

Locations

408 W Canal St
Church Point, LA 70525
Phone (337) 684-8001

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Barousse Family Clinic LLCChurch Point, LA, CCN 198910 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee
Dec 8, 2021
Jun 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1033550686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 JESSIE RICHARD RD",
            "city": "SUNSET",
            "state": "LA",
            "postal_code": "705845250",
            "telephone_number": "337-230-6535",
            "fax_number": "337-668-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "376 MAIN ST",
            "city": "CANKTON",
            "state": "LA",
            "postal_code": "705845920",
            "telephone_number": "337-668-4141",
            "fax_number": "337-668-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAROUSSE",
        "first_name": "MEGAN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-11",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO7344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cankton, LA

Sources for this page

Verify at the official NPI Registry.