Individual provider Active NPI

Etta Maria Yancey, FNP-C

  • Nurse Practitioner
  • Prairieville, LA
National Provider Identifier
1306519517
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
221209 Issued in LA
Practice address
14350 Highway 73
Prairieville, LA 70769-3617
Phone
(225) 313-3930
Fax
(225) 313-3940
NPI assigned
Jul 26, 2021
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 221209 LA Primary

Addresses

Primary practice location

14350 Highway 73
Prairieville, LA 70769-3617

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 313-3930

Other practice location 1

37488 Seven Oaks Ave
Prairieville, LA 70769-4355
Phone (198) 568-8897

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
I20230124003459 LA Practitioner - Nurse Practitioner 9133590425 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Urgent Care Ascension LLCGroup PAC ID 0244479095, 22 clinicians

Practice addresses (Care Compare)

10714 Hwy 431
Saint Amant, LA 70774-3904
Phone (225) 644-0005

14350 Hwy 73
Prairieville, LA 70769-3617
Phone (225) 313-3930

1776 N Airline Hwy
Suite a
Gonzales, LA 70737-2127
Phone (225) 647-4988

40546 Hwy 42
Prairieville, LA 70769-5250
Phone (225) 744-4988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221209LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
GWF Investments, LLC. CurrentSince Oct 12, 2022 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Jul 20, 2023 Accepting new patients
Lake Urgent Care Ascension LLC Current Accepting new patients

Locations

3235 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 387-3030

8742 Goodwood Blvd
Baton Rouge, LA 70806
Phone (225) 231-7070

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

40546 Highway 42
Prairieville, LA 70769
Phone (225) 744-4988

10714 Highway 431
Saint Amant, LA 70774
Phone (225) 644-0005

Interoperability endpoints

  • Direct secure messaging: eyancey5246565@direct.casso.us.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1306519517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-313-3930",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14350 HIGHWAY 73",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693617",
            "telephone_number": "225-313-3930",
            "fax_number": "225-313-3940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37488 Seven Oaks Ave",
            "address_purpose": "LOCATION",
            "city": "Prairieville",
            "state": "LA",
            "postal_code": "707694355",
            "country_code": "US",
            "telephone_number": "198-568-8897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANCEY",
        "first_name": "ETTA",
        "middle_name": "MARIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-26",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "221209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.