Katelyn Leblanc

Individual provider Active NPI Family Nurse Practitioner · Iota, LA

NPI 1275205262 · NPPES record last updated Sep 29, 2021

Key facts

NPI
1275205262
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
221802 (LA)
Practice address
119 S 5TH St
Iota, LA 70543-6105
Phone
(337) 779-6000
Fax
(337) 779-2027
NPI assigned
Sep 29, 2021
Sex
Female
Sole proprietor
No

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iota Family Healthcare, LLC (2 clinicians)

Practice addresses (Care Compare)

119 S 5TH St
Iota, LA 70543-6105
Phone (337) 779-6000

Hospital & facility affiliations

  • Acadia General Hospital Hospital · Crowley, LA · CCN 190044
  • Ochsner American Legion Hospital Hospital · Jennings, LA · CCN 190053
  • Acadian Medical Center Hospital · Eunice, LA · CCN 190318

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220606000802 LA Practitioner - Nurse Practitioner 8527446400 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iota Family Healthcare, LLC Current
since Feb 22, 2022
Accepting new patients

Locations

119 S 5th St
Iota, LA 70543
Phone (337) 275-6915

911 The Blvd
Rayne, LA 70578
Phone (337) 393-2052

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 221802 LA Yes

Addresses

Primary practice location

119 S 5TH St
Iota, LA 70543-6105

Mailing address

119 S 5TH St
Iota, LA 70543-6105
Phone (337) 779-6000

Other providers in Iota, LA

All providers in Iota, LA · Family Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.