Individual provider Active NPI

Stella P Prejean, APRN, CNS

  • Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1215939293
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP03713 Issued in LA
Practice address
315 Rue Louis Xiv
Lafayette, LA 70508-5734
Phone
(337) 269-9777
Fax
(337) 269-0244
NPI assigned
Aug 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN068456 LA
Nurse Practitioner 363L00000X AP03713 LA Primary

Addresses

Primary practice location

315 Rue Louis Xiv
Lafayette, LA 70508-5734

Mailing address

315 Rue Louis Xiv
Lafayette, LA 70508-5734
Phone (337) 269-9777

Other identifiers 1

IdentifierTypeStateIssuer
1364461MedicaidLA

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
I20040504001333 LA Practitioner - Certified Clinical Nurse Specialist (CNS) 9537157946 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

315 Rue Louis Xiv
Lafayette, LA 70508-5734
Phone 3372699777121

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.02 of 100Reported as group
Quality
63.27
Improvement activities
40
Cost
72.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP03713LAMDNurse Practitioner
RN068456LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Specialists of Acadiana, LLC CurrentSince Jan 1, 2025 Accepting new patients
Cardiology Specialists of Acadiana, LLC CurrentSince Jan 1, 2025 Accepting new patients
Neurological Associates of Louisiana, L.L.C. Past Accepting new patients
Mercy Physician Practices LLC Past Accepting new patients
Kenneth D Futch, MD, AMC Past Accepting new patients
Cardiology Centre of Lafayette Past Accepting new patients

Locations

213 Rue Fontaine
Lafayette, LA 70508
Phone 3372699777139

315 Rue Louis Xiv
Bldg B1
Lafayette, LA 70508

315 Rue Louis Xiv
Lafayette, LA 70508
Phone (337) 210-9225

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5868/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stella.prejean@ushv.eclinicaldirectplus.com

Organizations & group practices 7

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 6

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1215939293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085734",
            "telephone_number": "337-269-9777",
            "fax_number": "337-269-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 RUE LOUIS XIV",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085734",
            "telephone_number": "337-269-9777",
            "fax_number": "337-269-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "STELLA",
        "middle_name": "P",
        "credential": "APRN, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-10",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN068456",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP03713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1364461",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.