Individual provider Active NPI

Pamela Derbins, MSN FNP

  • Nurse Practitioner
  • Covington, LA
National Provider Identifier
1093398810
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP.21381 Issued in LA
Practice address
101 Judge Tanner Blvd
Covington, LA 70433-7503
Phone
(985) 951-3222
NPI assigned
Apr 29, 2021
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP.21381 LA Primary
Nurse Practitioner 363L00000X RN139427 LA

Addresses

Primary practice location

101 Judge Tanner Blvd
Covington, LA 70433-7503

Mailing address

1430 Tulane Ave # 8047
New Orleans, LA 70112-2632
Phone (504) 988-5565

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
I20210617002921 LA Practitioner - Nurse Practitioner 2860892494 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP.21381LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Belle Chasse Physician Services LLC Multi-Specialty CurrentSince Jan 3, 2024 Accepting new patients
Administrators of the Tulane Educational Fund Multi-Specialty CurrentSince Jun 1, 2021 Accepting new patients
Nni Covington LLC Multi-Specialty CurrentSince Jan 17, 2025 Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 406
Covington, LA 70433
Phone (985) 892-9143

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

1970 N Highway 190
Ste A
Covington, LA 70433

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

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

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

1415 Tulane Ave
Fl 5
New Orleans, LA 70112
Phone (504) 988-1001

1514 Jefferson Hwy
New Orleans, LA 70121

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

1001 Gause Blvd
Slidell, LA 70458
Phone (985) 280-2200

Interoperability endpoints

  • Direct secure messaging: pderbins2177734@direct.ochsner.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1093398810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE # 8047",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JUDGE TANNER BLVD",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337503",
            "telephone_number": "985-951-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBINS",
        "first_name": "PAMELA",
        "credential": "MSN FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP.21381",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN139427",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.