Individual provider Active NPI

Andrew Paul Benoit, FNP

  • Family Nurse Practitioner
  • Pineville, LA
National Provider Identifier
1184840902
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
08434204138 Issued in LA
Practice address
2389 Highway 28 E
Pineville, LA 71360-5607
Phone
(318) 487-1925
Fax
(318) 478-1674
NPI assigned
Apr 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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 08434204138 LA Primary

Addresses

Primary practice location

2389 Highway 28 E
Pineville, LA 71360-5607

Mailing address

2389 Highway 28 E
Pineville, LA 71360-5607
Phone (318) 487-1925

Other identifiers 2

IdentifierTypeStateIssuer
1149691MedicaidLA
1448524MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ANDREW.BENOIT@hca9.eclinicaldirectplus.com

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
I20040528000072 LA Practitioner - Nurse Practitioner 0446231161 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.47 of 100Reported as group
Quality
99.41
Promoting interoperability
100
Improvement activities
40
Cost
81.62

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08434204138LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Emergency Group, LLC CurrentSince Apr 1, 2021 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Mar 1, 2020 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Mar 1, 2020 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Mar 1, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc CurrentSince Mar 5, 2018 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients
Crossroads Medical Consultants LLC Past Accepting new patients
Internal Medicine Associates Past Accepting new patients
Louisiana Em-1 Medical Services, PC Past Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

Organizations & group practices 9

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": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1184840902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 HIGHWAY 28 E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605607",
            "telephone_number": "318-487-1925",
            "fax_number": "318-478-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 HIGHWAY 28 E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605607",
            "telephone_number": "318-487-1925",
            "fax_number": "318-478-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENOIT",
        "first_name": "ANDREW",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "08434204138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149691",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448524",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ANDREW.BENOIT@hca9.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2389 Highway 28 E",
            "city": "Pineville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "713605607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.