Individual provider Active NPI

Andre Gervais Gros, NP

  • Family Nurse Practitioner
  • Houma, LA
National Provider Identifier
1215065073
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO3855 Issued in LA
Practice address
855 Belanger St
Suite 102
Houma, LA 70360-4463
Phone
(985) 873-0112
Fax
(985) 857-8624
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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 APO3855 LA Primary

Addresses

Primary practice location

855 Belanger St
Suite 102
Houma, LA 70360-4463

Mailing address

855 Belanger Street
Ste 102
Houma, LA 70360
Phone (985) 873-0112

Other identifiers 1

IdentifierTypeStateIssuer
1109983MedicaidLA

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
I20070328000300 LA Practitioner - Nurse Practitioner 0446354658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christine Albrecht MD ApmcGroup PAC ID 0446147250, 2 clinicians

Practice addresses (Care Compare)

855 Belanger St
Houma, LA 70360-4463
Phone (985) 873-0112

Hospital & facility affiliations

  • Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008
  • Physicians Medical Center Hospital, Houma, LA, CCN 190241
  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO3855LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Albrecht MD Apmc CurrentSince Jan 27, 2016 Accepting new patients

Locations

855 Belanger St
Ste 102
Houma, LA 70360
Phone (985) 873-0112

855 Belanger St
Ste 209
Houma, LA 70360
Phone (985) 873-0112

869 Verret St
Houma, LA 70360
Phone (985) 868-7566

311 Arsenal St
Watertown, MA 02472
Phone (617) 924-5100

Organizations & group practices 1

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 3

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1215065073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 BELANGER STREET",
            "address_2": "STE 102",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-873-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BELANGER ST",
            "address_2": "SUITE 102",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604463",
            "telephone_number": "985-873-0112",
            "fax_number": "985-857-8624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROS",
        "first_name": "ANDRE",
        "middle_name": "GERVAIS",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO3855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1109983",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

Verify at the official NPI Registry.