Individual provider Active NPI

Sarah Wallace Eisworth, NP

  • Family Nurse Practitioner
  • Zachary, LA
National Provider Identifier
1225393283
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
06938 Issued in LA
Practice address
19900 Old Scenic Hwy
Zachary, LA 70791-7368
Phone
(225) 570-2618
Fax
(225) 570-8539
NPI assigned
Jul 5, 2012
Last updated
Jan 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 06938 LA Primary

Addresses

Primary practice location

19900 Old Scenic Hwy
Zachary, LA 70791-7368

Mailing address

2335 Church St Ste E
Zachary, LA 70791-2700
Phone (225) 570-2489

Other identifiers 1

IdentifierTypeStateIssuer
2452037MedicaidLA

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
I20160806000131 LA Practitioner - Nurse Practitioner 7214227776 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1286 Del Este Ave
Denham Springs, LA 70726-4898
Phone (225) 667-3100

2645 Oneal LN
Suite a
Baton Rouge, LA 70816-3179
Phone (225) 333-3660

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06938LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 13, 2023 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 13, 2023 Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients
Alvin C Moreau Jr Licensed Physical Therapist DTD 01 15 82 Past Accepting new patients
Hospital Service District 1 of East Baton Rouge Parish Past Accepting new patients

Locations

2645 Oneal Ln
Bldg A-A
Baton Rouge, LA 70816
Phone (225) 333-3660

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

1286 Del Este Ave
Denham Springs, LA 70726
Phone (225) 667-3100

610 N Jefferson Ave
Port Allen, LA 70767
Phone (225) 267-6626

Organizations & group practices 5

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": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1225393283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 CHURCH ST STE E",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912700",
            "telephone_number": "225-570-2489",
            "fax_number": "225-570-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 OLD SCENIC HWY",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917368",
            "telephone_number": "225-570-2618",
            "fax_number": "225-570-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISWORTH",
        "first_name": "SARAH",
        "middle_name": "WALLACE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-05",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "06938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2452037",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

Verify at the official NPI Registry.