Desmond Lewis, NP
Individual provider Active NPI Family Nurse Practitioner · Carencro, LA
NPI 1033864491 · NPPES record last updated Sep 10, 2026
Key facts
- NPI
- 1033864491
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 224077 (LA)
- Practice address
- 109 Wallace Broussard Rd Ste 300
Carencro, LA 70520-6355 - Phone
- (337) 896-9355
- NPI assigned
- Feb 15, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- CH MSSP Services la LLC
Coolidge Emergency Group LLC
Crowley Emergency Group LLC
Ambassador Emergency Group, LLC
Curana Health of Louisiana LLC
Curana Health Medical Group LLC
Acadia-St. Landry Hospital Service District
Practice addresses (Care Compare)
100 Kingston Rd
Sulphur, LA 70663-4016
Phone (337) 991-9276
1214 Coolidge Blvd
Lafayette, LA 70503-2696
Phone (337) 289-7991
1305 Crowley Rayne Hwy
Crowley, LA 70526-8202
Phone (337) 783-3222
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506-5906
Phone (337) 981-2949
2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747
60 Del Webb Blvd
Georgetown, TX 78633-2488
Phone (337) 991-9276
810 S Broadway
Church Point, LA 70525-4497
810 S Broadway St
Church Point, LA 70525-4402
Phone (337) 684-5435
820 S Broadway St
Church Point, LA 70525-4402
Phone (337) 270-9110
Hospital & facility affiliations
- Acadia St Landry
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, TX
- 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 |
|---|---|---|---|---|
| I20220331001171 | LA | Practitioner - Nurse Practitioner | 4284020231 | Reassigns benefits to 10 organizations |
| I20260602004670 | TX | Practitioner - Nurse Practitioner | 4284020231 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 224077 | LA | MD | Family Nurse Practitioner |
| 1229646 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ambassador Emergency Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Signify Health, LLC | Nurse Practitioner | Current |
Accepting new patients |
| Crowley Emergency Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Acadia-St. Landry Hospital Service District | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Current |
Accepting new patients | |
| Lourdes After Hours LLC | Current |
Accepting new patients | |
| Community Care Health Network LLC | Nurse Practitioner | Current |
Accepting new patients |
| Apx Medical Solutions, LLC | Current |
Accepting new patients | |
| Coolidge Emergency Group LLC | Nurse Practitioner | Current |
Accepting new patients |
| Lourdes After Hours LLC | Current |
Accepting new patients | |
| Acadia-St. Landry Hospital Service District | Past | Accepting new patients |
Locations
9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
1821 Rees St
Breaux Bridge, LA 70517
Phone (337) 332-0661
3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675
810 S Broadway St
Church Point, LA 70525
Phone (337) 684-4281
711 S Broadway St
Church Point, LA 70525
Phone (337) 684-0127
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416
232 Market St
Jackson, MS 39232
Phone (588) 498-6767
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 908599 | MS | |
| Family Nurse Practitioner | 363LF0000X | C-RXN.0104524-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 90559 | NM | |
| Family Nurse Practitioner | 363LF0000X | 3-003172 | AL | |
| Family Nurse Practitioner | 363LF0000X | 343893 | AZ | |
| Primary Care Nurse Practitioner | 363LP2300X | 901856 | NV | |
| Family Nurse Practitioner | 363LF0000X | 224077 | LA | Yes |
| Family Nurse Practitioner | 363LF0000X | 1229646 | TX | |
| Family Nurse Practitioner | 363LF0000X | 4058936 | KY | |
| Nurse Practitioner | 363L00000X | 343893 | AZ |
Addresses
Primary practice location
109 Wallace Broussard Rd Ste 300
Carencro, LA 70520-6355
Mailing address
PO Box 2118
Opelousas, LA 70571-2118
Other providers in Carencro, LA
- Heather Dawn Lecoq
- Lee Dales Home Care Agency
- Marissa M Lees
- Joan B Leger
- Lisa Lentini
- Freddie Lewis Jr.
- Sunshine Arceneaux Little
- Living Easy Transportation, LLC
- Lourdes After Hours LLC
- Jodie T Lown
All providers in Carencro, 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 Sep 10, 2026. 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.