Individual provider Active NPI

Jimmy Legros III, NP

  • Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1063419745
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN070188 - AP03265 Issued in LA
Practice address
3975 I 49 S Service Rd
234
Opelousas, LA 70570-0775
Phone
(337) 942-8694
Fax
(337) 942-8696
NPI assigned
Jul 7, 2005
Last updated
Nov 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN070188 - AP03265 LA Primary

Addresses

Primary practice location

3975 I 49 S Service Rd
234
Opelousas, LA 70570-0775

Mailing address

PO Box 52453
Lafayette, LA 70505-2453
Phone (337) 942-8694

Other identifiers 1

IdentifierTypeStateIssuer
1541435MedicaidLA

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
I20070409000238 LA Practitioner - Nurse Practitioner 4880798404 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Acadian LLCGroup PAC ID 0840521209, 31 clinicians

Practice addresses (Care Compare)

731 S Main St
Church Point, LA 70525-4109
Phone (337) 580-7500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN070188 - AP03265LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Medical Clinic LLC CurrentSince May 22, 2018 Accepting new patients
Acadiana Acute Care Associates, LLC CurrentSince Nov 1, 2013 Accepting new patients
CLHG-Acadian, LLC CurrentSince Jan 1, 2023 Accepting new patients
Fernando Alemany MD Apmc CurrentSince Jan 8, 2010 Accepting new patients
CLHG-Acadian LLC CurrentSince Jan 1, 2023 Accepting new patients
Sulphur Emergency Group LLC Nurse Practitioner Past Accepting new patients

Locations

731 S Main St
Church Point, LA 70525
Phone (337) 684-0911

731 S Main St
#A
Church Point, LA 70525
Phone (337) 580-7500

3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500

451 Heymann Blvd
Lafayette, LA 70503
Phone (337) 456-7795

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750

990 Napoleon Ave
Sunset, LA 70584
Phone (337) 662-5248

Interoperability endpoints

  • Direct secure messaging: jimmy.legros.1@27785.direct.athenahealth.com

Organizations & group practices 6

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 4

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1063419745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52453",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705052453",
            "telephone_number": "337-942-8694",
            "fax_number": "337-942-8696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 I 49 S SERVICE RD",
            "address_2": "234",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700775",
            "telephone_number": "337-942-8694",
            "fax_number": "337-942-8696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGROS",
        "first_name": "JIMMY",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN070188 - AP03265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541435",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.