Active NPI
Traci Bolster Biskupovich, NP
- Nurse Practitioner
- Gretna, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP06648
- Practice address
- 501 Lapalco Blvd
Gretna, LA 70056-7336 - Phone
- (504) 393-4376
- Fax
- (504) 930-4307
- NPI assigned
- Dec 6, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP06648 | LA | Primary |
Addresses
Primary practice location
501 Lapalco Blvd
Gretna, LA 70056-7336
Mailing address
501 Lapalco Blvd
Gretna, LA 70056-7336
Phone (504) 393-4376
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 89.78 of 100
- Quality
- 77.82
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP06648 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Kenner Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Foucher Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284
200 Corporate Blvd
Ste 201
Lafayette, LA 70508
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011
Organizations & group practices 3
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.
-
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- NPI 1871879007
Nurse Practitioner
-
- Emergency Medicine Physician
- Metairie, LA
- NPI 1528384773
Nurse Practitioner
-
- Emergency Medicine Physician
- Kenner, LA
- NPI 1013986546
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1295003267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 LAPALCO BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567336",
"telephone_number": "504-393-4376",
"fax_number": "504-930-4307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 LAPALCO BLVD",
"city": "GRETNA",
"state": "LA",
"postal_code": "700567336",
"telephone_number": "504-393-4376",
"fax_number": "504-930-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISKUPOVICH",
"first_name": "TRACI",
"middle_name": "BOLSTER",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-06",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "AP06648",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gretna, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.