Individual provider Active NPI

Monica Vercher Wildebrandt, APRN

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1306968540
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO3875 Issued in LA
Practice address
60491 Doss Dr Ste D
Slidell, LA 70460-4972
Phone
(985) 690-6929
Fax
(985) 690-6933
NPI assigned
Apr 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO3875 LA Primary
Family Nurse Practitioner 363LF0000X 908152 MS

Addresses

Primary practice location

60491 Doss Dr Ste D
Slidell, LA 70460-4972

Mailing address

60491 Doss Dr Ste D
Slidell, LA 70460-4972
Phone (985) 690-6929

Other practice location 1

200 Medical Cir
Tylertown, MS 39667-2069
Phone (731) 394-1145

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
I20090522000312 LA Practitioner - Nurse Practitioner 0345399283 Reassigns benefits to 1 organization
I20260216001663 MS Practitioner - Nurse Practitioner 0345399283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ultra Health LLCGroup PAC ID 6800186602, 151 clinicians
Clinics of the Southeast LLCGroup PAC ID 6709116239, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

200 Medical Cir
Tylertown, MS 39667-2069
Phone (731) 394-1145

219 S Border Dr
Bogalusa, LA 70427-3671
Phone (985) 633-1952

405 Ave F
Bogalusa, LA 70427-3633
Phone (985) 732-1568

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APO3875LAMDFamily Nurse Practitioner
908152MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ultra Health LLC Nurse Practitioner CurrentSince Feb 3, 2026 Accepting new patients
Internal Medicine Associates Past Accepting new patients

Locations

156 E Walnut Ave
Eupora, MS 39744
Phone (662) 258-8293

200 Medical Cir
Tylertown, MS 39667
Phone (601) 876-2107

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14578/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1306968540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60491 DOSS DR STE D",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604972",
            "telephone_number": "985-690-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60491 DOSS DR STE D",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704604972",
            "telephone_number": "985-690-6929",
            "fax_number": "985-690-6933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Medical Cir",
            "address_purpose": "LOCATION",
            "city": "Tylertown",
            "state": "MS",
            "postal_code": "396672069",
            "country_code": "US",
            "telephone_number": "731-394-1145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILDEBRANDT",
        "first_name": "MONICA",
        "middle_name": "VERCHER",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-06",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO3875",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "908152",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.