Individual provider Active NPI

Susan M Demesia, APRN

  • Family Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1083994263
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06596 Issued in LA
Practice address
180 W Esplanade Ave
5TH Floor
Kenner, LA 70065-2467
Phone
(504) 468-8600
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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 AP06596 LA Primary

Addresses

Primary practice location

180 W Esplanade Ave
5TH Floor
Kenner, LA 70065-2467

Mailing address

20 San Carlos Ave
Jefferson, LA 70121-2239
Phone (504) 232-2235

Other identifiers 2

IdentifierTypeStateIssuer
2178423MedicaidLA
06000067MedicaidMS

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
I20111115000679 LA Practitioner - Nurse Practitioner 9537333265 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital City Medical Group, L.L.C.Group PAC ID 8628252392, 38 clinicians

Practice addresses (Care Compare)

2633 Napoleon Ave
Suite 400
New Orleans, LA 70115-6340
Phone (504) 897-3305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP06596LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Capital City Medical Group, L.L.C. CurrentSince Dec 2, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince May 22, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince May 22, 2017 Accepting new patients
Healthcare Plus Limited Liability Company Nurse Practitioner CurrentSince Mar 4, 2024 Accepting new patients
Wound Management Specialists, LLC Nurse Practitioner CurrentSince Apr 13, 2024 Accepting new patients
Pelican Medical Clinic LLC Past Accepting new patients

Locations

16777 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 754-3278

131 Corporate Dr
Houma, LA 70360
Phone (985) 293-2300

180 W Esplanade Ave
Fl 5
Kenner, LA 70065
Phone (504) 464-8540

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

3625 Houma Blvd
Metairie, LA 70006
Phone (504) 648-0270

3001 22nd St
Metairie, LA 70002
Phone (504) 949-0450

2633 Napoleon Ave
Ste 400
New Orleans, LA 70115
Phone (504) 897-3305

1514 Jefferson Hwy
New Orleans, LA 70121

778 Liberty Rd
Flowood, MS 39232
Phone (601) 914-9620

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1083994263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SAN CARLOS AVE",
            "city": "JEFFERSON",
            "state": "LA",
            "postal_code": "701212239",
            "telephone_number": "504-232-2235",
            "fax_number": "504-232-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W ESPLANADE AVE",
            "address_2": "5TH FLOOR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652467",
            "telephone_number": "504-468-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMESIA",
        "first_name": "SUSAN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06596",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178423",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06000067",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.