Maribeth Gambill, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP08704 Issued in LA

Practice address

616 S Washington St
Bastrop, LA 71220-5035

Phone

(318) 283-3990

Fax

(318) 239-8990

NPI assigned

Aug 18, 2006

Last updated

May 25, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana State University School of Medicine in New Orleans Faculty GGroup PAC ID 0244136448, 445 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maga4106@yourcarecommunity.org

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.

• Louisiana State University School of Medicine in New Orleans Faculty G

  dba LSU Healthcare Network

  • Multi-Specialty Clinic/Center
  • New Orleans, LA
  • NPI 1477582526
  Medicare reassignment Care Compare group
• Morehouse Parish Hospital Service District 1

  dba MGH Physicians Clinic

  • Multi-Specialty Clinic/Center
  • Bastrop, LA
  • NPI 1891013496

  Family

  Medicare reassignment NPD
• Dr James Michael Smith Apmc

  • Primary Care Clinic/Center
  • Bastrop, LA
  • NPI 1508064296
  NPD
• Jimmy R Coughran a Medical Corporation

  • Family Medicine Physician
  • Winnsboro, LA
  • NPI 1982748224
  NPD
• F. David Chambers, M.D. PA

  • Family Medicine Physician
  • Dumas, AR
  • NPI 1164437695
  NPD (past)
• St Marys Physician Services, LLC

  dba Cardiology Associates of North Central Arkansas

  • Interventional Cardiology Physician
  • Russellville, AR
  • NPI 1720356207
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University Medical Center Management Corporation

  dba University Medical Center New Orleans

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1568403111
  Care Compare affiliation

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1144334863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 293",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210293",
            "telephone_number": "318-283-3920",
            "fax_number": "318-239-8920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205035",
            "telephone_number": "318-283-3990",
            "fax_number": "318-239-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBILL",
        "first_name": "MARIBETH",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A001549",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2411861",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamala D Floyd, LCSW
• Arnor Gregory Ford
• Katelyn Victoria Freeland
• William Freeland, O.T.
• G&G Transportation
• Chad Martin Gardner, DDS
• John Paul Garrett, D.D.S.
• Gastroenterology & Nutritional Medical Services
• Eva Ghaedi
• Franchesca Gibson

• Family Nurse Practitioner in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.