Individual provider Active NPI

Mary Ricaud Leblanc, FNP

  • Family Nurse Practitioner
  • Abbeville, LA
National Provider Identifier
1073932687
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07360 Issued in LA
Practice address
2615 North Dr
Abbeville, LA 70510
Phone
(337) 893-1506
NPI assigned
Apr 10, 2014
Last updated
Mar 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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 AP07360 LA Primary

Addresses

Primary practice location

2615 North Dr
Abbeville, LA 70510

Mailing address

2615 North Dr
Abbeville, LA 70510-4042
Phone (337) 893-1506

Other practice location 1

1501 Bethia St
Franklin, LA 70538-3720
Phone (337) 893-1506

Other practice location 2

2615 North Dr
Abbeville, LA 70510
Phone (337) 893-1506

Other names 1

  • Mary Joyce Ricaud Former name

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
I20150422000687 LA Practitioner - Nurse Practitioner 1850619941 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 2985
Patterson, LA 70392

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.36 of 100Reported as group
Quality
67.04
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eunice Emergency Group LLC Nurse Practitioner CurrentSince Dec 4, 2017 Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince Apr 1, 2015 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Jul 16, 2017 Accepting new patients
St Martin Emergency Group LLC Nurse Practitioner CurrentSince May 7, 2018 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Jul 16, 2017 Accepting new patients
Abbeville Emergency Group LLC Nurse Practitioner CurrentSince May 29, 2017 Accepting new patients
Excellence in Total Care LLC Family CurrentSince Dec 8, 2020 Accepting new patients
Vernon a Valentino, MD, Apmc Past Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

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

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

2705 Highway 28 E
Pineville, LA 71360
Phone (318) 704-6770

Interoperability endpoints

  • Direct secure messaging: mary.leblanc.1@29129.direct.athenahealth.com

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
Patterson Total Care ClinicPatterson, LA, CCN 198916 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
Operational/Managerial Control (100%)
Dec 8, 2020
Dec 8, 2020
Dec 8, 2020
Dec 8, 2020

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 8

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552953600000",
    "number": "1073932687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 NORTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "705104042",
            "telephone_number": "337-893-1506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 NORTH DR",
            "city": "ABBEVILLE",
            "state": "LA",
            "postal_code": "70510",
            "telephone_number": "337-893-1506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Bethia St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "LA",
            "postal_code": "705383720",
            "country_code": "US",
            "telephone_number": "337-893-1506",
            "fax_number": "337-898-0882",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 North Dr",
            "address_purpose": "LOCATION",
            "city": "Abbeville",
            "state": "LA",
            "postal_code": "70510",
            "country_code": "US",
            "telephone_number": "337-893-1506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "MARY",
        "middle_name": "RICAUD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2019-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "RICAUD",
            "middle_name": "JOYCE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Abbeville, LA

Sources for this page

Verify at the official NPI Registry.