Individual provider Active NPI

Christopher B Staggers, NP

  • Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1184283236
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
207032 Issued in LA
Practice address
2315 E Main St
New Iberia, LA 70560-4031
Phone
(337) 364-0441
Fax
(337) 374-7641
NPI assigned
Jun 12, 2019
Last updated
Aug 8, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 207032 LA Primary

Addresses

Primary practice location

2315 E Main St
New Iberia, LA 70560-4031

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

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
I20190903001064 LA Practitioner - Nurse Practitioner 8820327778 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Stat Care LLCGroup PAC ID 3870028491, 17 clinicians
Mayfair Emergency Group, LLCGroup PAC ID 3375808645, 33 clinicians
Red Stick Emergency Group LLCGroup PAC ID 2062583578, 33 clinicians

Practice addresses (Care Compare)

11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone 22526144931

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

8585 Picardy Ave
Baton Rouge, LA 70809-3748
Phone (225) 763-4000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
207032LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Red Stick Emergency Group LLC Nurse Practitioner CurrentSince Jul 16, 2022 Accepting new patients
Main Street Emergency Group LLC Nurse Practitioner CurrentSince Aug 9, 2019 Accepting new patients
Mayfair Emergency Group, LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Louisiana Stat Care LLC CurrentSince Nov 1, 2024 Accepting new patients

Locations

11055 Shoe Creek Dr
Baton Rouge, LA 70818
Phone (225) 261-4493

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

3600 Florida St
Baton Rouge, LA 70806
Phone (225) 381-2615

3907 S Sherwood Frst
Baton Rouge, LA 70816
Phone (225) 367-6189

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

200 Corporate Blvd
Lafayette, LA 70508

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

Organizations & group practices 4

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1184283236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E MAIN ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705604031",
            "telephone_number": "337-364-0441",
            "fax_number": "337-374-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGGERS",
        "first_name": "CHRISTOPHER",
        "middle_name": "B",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "207032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.