Individual provider Active NPI

Rachel Landrem, NP

  • Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1225757040
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
200155 Issued in LA
Practice address
1100 Andre St Ste 301
New Iberia, LA 70563-2159
Phone
(337) 359-5711
Fax
(337) 364-6094
NPI assigned
Aug 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 200155 LA
Nurse Practitioner 363L00000X 200155 LA Primary

Addresses

Primary practice location

1100 Andre St Ste 301
New Iberia, LA 70563-2159

Mailing address

1100 Andre St Ste 301
New Iberia, LA 70563-2159
Phone (337) 359-5711

Other practice location 1

105 Patriot St # 101
Lafayette, LA 70508-6831
Phone (337) 534-0653

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
I20221217000297 LA Practitioner - Nurse Practitioner 9436528296 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Luis E Alvarez MD ApmcGroup PAC ID 5193761963, 3 clinicians

Practice addresses (Care Compare)

1100 Andre St
Suite 301
New Iberia, LA 70563-2159
Phone (337) 364-9225

Hospital & facility affiliations

  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
  • Our Lady of Lourdes Regional Medical Center, Inc Hospital, Lafayette, LA, CCN 190102
  • Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
  • Bayou Bend Health System Hospital, Franklin, LA, CCN 191310

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.82
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200155LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Reconstructive Sub-Specialists LLC CurrentSince Sep 13, 2022 Accepting new patients
Luis E Alvarez MD Apmc CurrentSince Apr 2, 2024 Accepting new patients

Locations

4501 Jackson Street Ext
Ste A
Alexandria, LA 71303
Phone (337) 534-0653

105 Patriot St
Ste 101
Lafayette, LA 70508
Phone (337) 534-0653

105 Patriot St
Lafayette, LA 70508
Phone (337) 981-2125

105 Patriot St
#101
Lafayette, LA 70508
Phone (337) 534-0653

1100 Andre St
Ste 301
New Iberia, LA 70563
Phone (337) 359-5711

Organizations & group practices 2

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": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1225757040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 ANDRE ST STE 301",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632159",
            "telephone_number": "337-359-5711",
            "fax_number": "337-364-6094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 ANDRE ST STE 301",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632159",
            "telephone_number": "337-359-5711",
            "fax_number": "337-364-6094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Patriot St # 101",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086831",
            "country_code": "US",
            "telephone_number": "337-534-0653",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANDREM",
        "first_name": "RACHEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "LA",
            "license": "200155",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "200155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.