Individual provider Active NPI

Brigetta Desiree Yancy, MD

  • Family Medicine Physician
  • Marrero, LA
National Provider Identifier
1063475499
Registry record updated Nov 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
025301 Issued in LA
Practice address
1220 Barataria Blvd
Marrero, LA 70072
Phone
(504) 340-6711
Fax
(504) 348-3935
NPI assigned
Apr 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 025301 LA Primary

Addresses

Primary practice location

1220 Barataria Blvd
Marrero, LA 70072

Mailing address

PO Box 1819
Marrero, LA 70073-1813
Phone (504) 340-6711

Other identifiers 1

IdentifierTypeStateIssuer
1552011MedicaidLA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000139 LA Practitioner - Family Practice 4183686918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westcare Medical Center, IncGroup PAC ID 8628982550, 4 clinicians

Practice addresses (Care Compare)

1220 Barataria Blvd
Marrero, LA 70072-3702

1220 Barataria Blvd
Marrero, LA 70072-3769
Phone (504) 340-6711

Hospital & facility affiliations

  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
025301LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Westcare Medical Center, Inc CurrentSince Aug 2, 2004 Accepting new patients

Locations

1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFAD/Endpoint/GABFAD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFAD

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258675200000",
    "number": "1063475499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1819",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700731813",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANCY",
        "first_name": "BRIGETTA",
        "middle_name": "DESIREE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "025301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1552011",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.