Michelle Pellegrin, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP09224 Issued in LA

Practice address

3015 Cordell Rd
Houma, LA 70363-7167

Phone

(985) 688-1498

NPI assigned

Feb 22, 2017

Last updated

Feb 22, 2017By 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 1

Addresses

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Louisiana Medical AssociatesGroup PAC ID 8527968650, 112 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Leonard J Chabert Medical Center Hospital, Houma, LA, CCN 190183
• Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
• Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• South Louisiana Medical Associates

  • Surgery Physician
  • Houma, LA
  • NPI 1942301379

  Family

  Medicare reassignment Care Compare group NPD
• South Louisiana Medical Associates

  • Durable Medical Equipment & Medical Supplies
  • Houma, LA
  • NPI 1699218131
  NPD
• South Louisiana Medical Associates

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1710944012

  Nurse Practitioner

  NPD (past)

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

• Ochsner Bayou LLC

  dba Ochsner St. Anne General Hospital

  • Critical Access Hospital
  • Raceland, LA
  • NPI 1396761805
  Care Compare affiliation
• Ochsner Clinic Foundation

  dba Ochsner Medical Center Acute

  • General Acute Care Hospital
  • New Orleans, LA
  • NPI 1811973100
  Care Compare affiliation
• Southern Regional Medical Corporation

  dba Leonard J. Chabert Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1326485749
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487721600000",
    "number": "1174062277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 CORDELL RD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3015 CORDELL RD",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703637167",
            "telephone_number": "985-688-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLEGRIN",
        "first_name": "MICHELLE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Craig Pellegrin, M.D.
• Dean Patrick Pellegrin
• Deanne Dupre Pellegrin, LPC
• Dudley Pellegrin Jr.
• Joni Louise Pellegrin
• Paige Pellegrin, LPC-S
• Timothy J Pellegrin, PMHNP-BC
• Virginia Pellegrin, LCSW
• Virginia M Pellegrin, N.P.
• Tracy Peltier, P.T.

• Family Nurse Practitioner in Houma, LA
• Providers in Houma, 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 Feb 22, 2017; 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.