Individual provider Active NPI

Michael Andre Couvillon, NP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1184621856
Registry record updated Apr 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN045162 - AP03387 Issued in LA
Practice address
3250 Zemke Ave
Tampa, FL 33621-5023
Phone
(813) 827-4410
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2018

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 RN045162 - AP03387 LA Primary

Addresses

Primary practice location

3250 Zemke Ave
Tampa, FL 33621-5023

Mailing address

3250 Zemke Ave
Tampa, FL 33621-5023
Phone (813) 827-4410

Other identifiers 2

IdentifierTypeStateIssuer
P00130594OtherLARR MEDICARE
1564907MedicaidLA

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
I20041013000599 LA Practitioner - Nurse Practitioner 0547220626 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paeon Health Services IncGroup PAC ID 1153697727, 55 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN045162 - AP03387LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Medical Center Management Corporation Nurse Practitioner CurrentSince May 26, 2025 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince May 11, 2010 Accepting new patients
University Medical Center Management Corporation CurrentSince May 26, 2025 Accepting new patients
Paeon Health Services Inc CurrentSince Feb 1, 2024 Accepting new patients
Physician Practice Partners Nurse Practitioner CurrentSince Apr 1, 2019 Accepting new patients
Lafourche Parish Hospital Service District No.1 CurrentSince May 11, 2010 Accepting new patients
Terrebonne Parish Hospital Service District #1 Current Accepting new patients
Laborde Therapy Center LLC PastSince Jun 7, 2010 Accepting new patients

Locations

200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300

911 Verret St
Houma, LA 70360
Phone (985) 876-7388

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Interoperability endpoints

  • Direct secure messaging: mcouvillon158472@direct.ochsner.org

Organizations & group practices 8

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524096000000",
    "number": "1184621856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 ZEMKE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215023",
            "telephone_number": "813-827-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 ZEMKE AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336215023",
            "telephone_number": "813-827-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUVILLON",
        "first_name": "MICHAEL",
        "middle_name": "ANDRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN045162 - AP03387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00130594",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564907",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.