Individual provider Active NPI

Jamie Bayham St. Romain, FNP

  • Family Nurse Practitioner
  • Eunice, LA
National Provider Identifier
1104290881
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08292 Issued in LA
Practice address
102 S 2ND St
Eunice, LA 70535-4608
Phone
(337) 457-3135
NPI assigned
Nov 18, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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 AP08292 LA Primary

Addresses

Primary practice location

102 S 2ND St
Eunice, LA 70535-4608

Mailing address

102 S 2ND St
Eunice, LA 70535-4608
Phone (337) 457-3135

Other identifiers 2

IdentifierTypeStateIssuer
2410393MedicaidLA
478123YPRKOtherLAMEDICARE PTAN-GROUP

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
I20160308000437 LA Practitioner - Nurse Practitioner 8921304585 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthcare Plus Limited Liability CompanyGroup PAC ID 5698038610, 120 clinicians

Practice addresses (Care Compare)

3001 22ND St
Metairie, LA 70002-4918
Phone (769) 243-6141

Hospital & facility affiliations

  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Group of Acadiana, LLC Current Accepting new patients
Healthcare Plus Limited Liability Company CurrentSince Apr 1, 2025 Accepting new patients
Wound Management Specialists, LLC CurrentSince Apr 1, 2025 Accepting new patients
Pediatric Group of Acadiana LLC CurrentSince Jan 1, 2019 Accepting new patients
Pediatric Group of Acadiana, LLC CurrentSince Jan 1, 2019 Accepting new patients

Locations

401 Youngsville Hwy
#100
Lafayette, LA 70508
Phone (337) 330-0031

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

2308 E Main St
Ste G
New Iberia, LA 70560
Phone (337) 367-2001

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

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
Oxbow Family PracticeNew Roads, LA, CCN 193948 Rural health clinic W-2 Managing Employee Jan 1, 2019

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 5

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": "1447804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1104290881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S 2ND ST",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705354608",
            "telephone_number": "337-457-3135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S 2ND ST",
            "city": "EUNICE",
            "state": "LA",
            "postal_code": "705354608",
            "telephone_number": "337-457-3135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. ROMAIN",
        "first_name": "JAMIE",
        "middle_name": "BAYHAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-18",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2410393",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN-GROUP",
            "identifier": "478123YPRK",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eunice, LA

Sources for this page

Verify at the official NPI Registry.