Individual provider Active NPI

Nicky Culotta, AGACNP-BC, FNP-BC

  • Nurse Practitioner
  • Madisonville, LA
National Provider Identifier
1295507499
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP232356 Issued in LA
Practice address
552 Kristian CT
Madisonville, LA 70447-3716
Phone
(504) 858-6335
NPI assigned
Oct 23, 2023
Last updated
Oct 23, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP232356 LA Primary
Acute Care Nurse Practitioner 363LA2100X AP232356 LA
Family Nurse Practitioner 363LF0000X AP232356 LA

Addresses

Primary practice location

552 Kristian CT
Madisonville, LA 70447-3716

Mailing address

552 Kristian CT
Madisonville, LA 70447-3716
Phone (504) 858-6335

Other names 1

  • Nick Culotta Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240305002339 LA Practitioner - Nurse Practitioner 1355790189 Reassigns benefits to 4 organizations
I20240706000426 MS Practitioner - Nurse Practitioner 1355790189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of South Alabama College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hancock Emergency Group LLCGroup PAC ID 8022237015, 28 clinicians

Practice addresses (Care Compare)

149 Drinkwater Rd
Bay Saint Louis, MS 39520-1658
Phone (228) 467-8600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP232356LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Emergency Group LLC Nurse Practitioner CurrentSince Jul 1, 2024 Accepting new patients
St. Bernard Emergency Group, LLC Nurse Practitioner CurrentSince Apr 1, 2024 Accepting new patients
In and Out Urgent Care Covington, LLC CurrentSince Jan 27, 2024 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Feb 4, 2024 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Feb 4, 2024 Accepting new patients

Locations

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

13130 Highway 1085
Ste 100
Covington, LA 70433
Phone (985) 377-9877

716 W 21st Ave
Covington, LA 70433

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600

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.

Hospital & facility affiliations 1

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1295507499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 KRISTIAN CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473716",
            "telephone_number": "504-858-6335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "552 KRISTIAN CT",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473716",
            "telephone_number": "504-858-6335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULOTTA",
        "first_name": "NICKY",
        "credential": "AGACNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP232356",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP232356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP232356",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICK",
            "last_name": "CULOTTA",
            "credential": "AGACNP-BC, FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.