Individual provider Active NPI

Kelly C Harmon, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1205520772
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230550 Issued in LA
Practice address
1000 W Pinhook Rd Ste 201a
Lafayette, LA 70503-2460
Phone
(337) 237-0650
NPI assigned
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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 230550 LA Primary

Addresses

Primary practice location

1000 W Pinhook Rd Ste 201a
Lafayette, LA 70503-2460

Mailing address

1000 W Pinhook Rd Ste 201a
Lafayette, LA 70503-2460
Phone (337) 237-0650

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
I20230828000837 LA Practitioner - Nurse Practitioner 1052774866 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadian Ear Nose Throat and Facial Plastic Surgery ApmcGroup PAC ID 8123070992, 9 clinicians

Practice addresses (Care Compare)

1000 W Pinhook Rd
Suite 201a
Lafayette, LA 70503-2460
Phone (337) 237-0755

Hospital & facility affiliations

  • Acadia General Hospital Hospital, Crowley, LA, CCN 190044
  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053

Merit-based Incentive Payment System (MIPS)

Final score
89.88 of 100Reported as group
Quality
66.28
Promoting interoperability
100
Improvement activities
40
Cost
100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
230550LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Abbeville General Hospital CurrentSince Mar 17, 2025 Accepting new patients
Abbeville General Hospital CurrentSince Mar 17, 2025 Accepting new patients
Lafayette Health Ventures Inc PastSince Aug 1, 2023 Accepting new patients

Locations

2419 Alonzo St
Abbeville, LA 70510
Phone (337) 892-0630

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

220 North Rd
Erath, LA 70533
Phone (337) 364-3301

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

Interoperability endpoints

  • Direct secure messaging: kharmon75200@direct.casso.us.com

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 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": "1686009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1205520772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD STE 201A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-237-0650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W PINHOOK RD STE 201A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032460",
            "telephone_number": "337-237-0650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "KELLY",
        "middle_name": "C",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "230550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.