Individual provider Active NPI

Justine Michelle Guerrero, PA-C

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1083965255
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
329480 Issued in LA
Practice address
901 Wilson St
Lafayette, LA 70503-2439
Phone
(337) 456-6523
Fax
(337) 456-6521
NPI assigned
Sep 27, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA14984 TX
Physician Assistant 363A00000X 329480 LA Primary

Addresses

Primary practice location

901 Wilson St
Lafayette, LA 70503-2439

Mailing address

1803 Horsetail FLS Apt 1
Edinburg, TX 78539-2476
Phone (956) 607-1900

Other practice location 1

1803 Horsetail Fls Apt 1
Edinburg, TX 78539-2476
Phone (956) 607-1900

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
I20220531001466 LA Practitioner - Physician Assistant 9335527530 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians
Skylink Medical IncGroup PAC ID 0143611640, 7 clinicians

Practice addresses (Care Compare)

1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069

1325 Wright Ave
Crowley, LA 70526-2226
Phone (337) 783-1651

1325 Wright Ave H
Family Medicine Clinic Crowley
Crowley, LA 70526-2226
Phone (337) 785-5440

224 Saint Landry St
Suite 1G
Lafayette, LA 70506-3549
Phone (337) 349-6655

2810 Bonin Rd
Youngsville, LA 70592-5600
Phone (337) 857-5765

409 W Pont Des Mouton Rd C
Couret Farms Urgent Care
Lafayette, LA 70507-3271
Phone (337) 886-6455

4402 U S Hwy 167
Maurice, LA 70555-3708
Phone (337) 516-3117

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA14984TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc. CurrentSince Apr 14, 2024 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Apr 14, 2024 Accepting new patients
Acadian Physician Practices LLC Past Accepting new patients

Locations

1325 Wright Ave
Ste H
Crowley, LA 70526
Phone (337) 785-5440

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

409 W Pont des Mouton Rd
Ste C
Lafayette, LA 70507
Phone (337) 886-6455

4402 U S Highway 167
Ste A
Maurice, LA 70555
Phone (337) 516-3110

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Interoperability endpoints

  • Direct secure messaging: justine.guerrero.1@25308.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 and National Provider Directory roles.

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1083965255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 HORSETAIL FLS APT 1",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785392476",
            "telephone_number": "956-607-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILSON ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032439",
            "telephone_number": "337-456-6523",
            "fax_number": "337-456-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1803 Horsetail Fls Apt 1",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785392476",
            "country_code": "US",
            "telephone_number": "956-607-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JUSTINE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA14984",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "329480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.