Individual provider Active NPI

Ashley J. Cusimano, APRN

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1306228135
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08394 Issued in LA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP08394OtherLALICENSE
02084269MedicaidMS
2396536MedicaidLA

Other names 1

  • Ashley Marie Jakob Former name

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
I20151022002674 LA Practitioner - Nurse Practitioner 1759690209 Reassigns benefits to 3 organizations

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
Monogram Health Professional Services PCGroup PAC ID 4880004183, 27 clinicians

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

LicenseStateTypeSpecialty
AP08394LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 22, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 24, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 24, 2017 Accepting new patients
Monogram Health Professional Services PC Family CurrentSince Dec 22, 2025 Accepting new patients
Independence Emergency Group LLC CurrentSince Apr 20, 2016 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.

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

Verify at the official NPI Registry.