Active NPI
Ashley J. Cusimano, APRN
- Family Nurse Practitioner
- Metairie, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP08394
- Practice address
- 2215 Veterans Memorial Blvd
Metairie, LA 70002-6322 - Phone
- (504) 838-3524
- Fax
- (504) 828-6155
- NPI assigned
- Jun 29, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08394 | LA | Primary |
Addresses
Primary practice location
2215 Veterans Memorial Blvd
Metairie, LA 70002-6322
Mailing address
1101 Medical Center Blvd
ER
Marrero, LA 70072-3147
Phone (504) 349-1533
Other practice location 1
1101 Medical Center Blvd
ER
Marrero, LA 70072-3147
Phone (504) 349-1533
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP08394 | Other | LA | LICENSE |
| 02084269 | Medicaid | MS | |
| 2396536 | Medicaid | LA |
Other names 1
- Ashley Marie Jakob
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 Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Baton Rouge, LA 70827
Phone (855) 212-2273
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP08394 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Monogram Health Professional Services PC | Family | Current | Accepting new patients |
| Independence Emergency Group LLC | Current | Accepting new patients |
Locations
2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895
1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420
5922 W Main St
Ste A
Houma, LA 70360
Phone (985) 262-8015
708 W Esplanade Ave
Kenner, LA 70065
Phone (504) 461-9660
12895 Highway 90
Ste H
Luling, LA 70070
Phone (985) 331-9400
2735 Highway 190
Ste D
Mandeville, LA 70471
Phone (985) 778-2510
1625 Barataria Blvd
#A
Marrero, LA 70072
Phone (504) 309-5015
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
2215 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 838-3524
231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853
1514 Jefferson Hwy
New Orleans, LA 70121
4605 Magazine St
New Orleans, LA 70115
Phone (504) 883-8111
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
104 Acadia Park Dr
#9390
Raceland, LA 70394
Phone (225) 336-3100
318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276
Organizations & group practices 6
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.
-
- Nephrology Physician
- Brentwood, TN
- NPI 1659987436
Family, LA
-
- Emergency Medicine Physician
- Metairie, LA
- NPI 1528384773
-
- General Practice Physician
- New Orleans, LA
- NPI 1538151428
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- General Practice Physician
- Prairieville, LA
- NPI 1487853453
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306228135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"address_2": "ER",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-349-1533",
"fax_number": "504-349-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 VETERANS MEMORIAL BLVD",
"city": "METAIRIE",
"state": "LA",
"postal_code": "700026322",
"telephone_number": "504-838-3524",
"fax_number": "504-828-6155"
}
],
"practiceLocations": [
{
"address_1": "1101 Medical Center Blvd",
"address_2": "ER",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "700723147",
"country_code": "US",
"telephone_number": "504-349-1533",
"fax_number": "504-349-1530",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUSIMANO",
"first_name": "ASHLEY",
"middle_name": "J.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08394",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AP08394",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02084269",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2396536",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "JAKOB",
"middle_name": "MARIE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Metairie, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.