Individual provider Active NPI

Kevin Bankson

  • Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1326824020
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
207227 Issued in LA
Practice address
1111 Medical Center Blvd Ste S850
Marrero, LA 70072-3173
Phone
(504) 349-6450
Fax
(504) 349-6454
NPI assigned
Sep 7, 2023
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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 207227 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd Ste S850
Marrero, LA 70072-3173

Mailing address

125 W 40TH PL
Cut Off, LA 70345-3078

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
I20231012000683 LA Practitioner - Nurse Practitioner 1759736606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians
Lafourche Parish Hospital Service District No 1Group PAC ID 2264342229, shared by 7 NPIs, 23 clinicians

Practice addresses (Care Compare)

1111 Medical Ctr Blvd
Marrero, LA 70072-3151
Phone (504) 349-6450

144 W 134TH PL
Cut Off, LA 70345-4128
Phone (985) 632-6233

200 W 134TH PL
Cut Off, LA 70345-4143
Phone (985) 632-6401

200 W 134TH Place
Cut Off, LA 70345-4143

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince Nov 1, 2023 Accepting new patients
Lafourche Parish Hospital Service District No.1 Past Accepting new patients
Culicchia Neurological Clinic, LLC Past Accepting new patients

Locations

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S850
Marrero, LA 70072
Phone (504) 349-6450

1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953

Interoperability endpoints

  • Direct secure messaging: kevin.bankson.2@748.direct.athenahealth.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.

Hospital & facility affiliations 2

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1326824020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W 40TH PL",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD STE S850",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723173",
            "telephone_number": "504-349-6450",
            "fax_number": "504-349-6454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKSON",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "207227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.