Anna G Faulk, APRN
Individual provider Active NPI Family Nurse Practitioner · Lafayette, LA
NPI 1043784267 · NPPES record last updated May 27, 2019
Key facts
- NPI
- 1043784267
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 202438 (LA)
- Practice address
- 136 Hospital Dr
Lafayette, LA 70503-2819 - Phone
- (337) 289-8282
- NPI assigned
- Jan 22, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Lafayette General Medical Center Inc
Lafayette Health Ventures Inc
Practice addresses (Care Compare)
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991
136 Hospital Dr
Suite 100
Lafayette, LA 70503-2819
Phone (337) 289-8282
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
- Christus Ochsner St Patrick 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 |
|---|---|---|---|---|
| I20190305000564 | LA | Practitioner - Nurse Practitioner | 6002155314 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures, Inc | Current |
Accepting new patients | |
| Lafayette General Medical Center Inc. | Current |
Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current |
Accepting new patients | |
| Lafayette General Medical Center Inc. | Current |
Accepting new patients | |
| Lafayette General Medical Center Inc | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
136 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 289-8282
136 Hospital Dr
Lafayette, LA 70503
Phone (318) 232-4823
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
136 Hospital Dr
Ste 101
Lafayette, LA 70503
Phone (337) 289-8282
Interoperability endpoints
- afaulk1443392@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 202438 | LA | Yes |
Addresses
Primary practice location
136 Hospital Dr
Lafayette, LA 70503-2819
Mailing address
107 Cherry Bark LN
Lafayette, LA 70508-8146
Phone (318) 218-3963
Other providers in Lafayette, LA
- Allison Claire Faugot
- Glenn Joseph Faul
- Rick Joe Faul
- Robert K Faul
- Timothy D Faul
- Ebony Faulk
- Shemeka Faulk
- Shonta R Faulk
- Ahmed Fazal-Ur-Rehman
- Syed M Fazal-Ur-Rehman
All providers in Lafayette, 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 May 27, 2019. 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.