Individual provider Active NPI

Debralee Ann Populis, APRN-BC, MSN, FNP

  • Family Nurse Practitioner
  • Springfield, LA
National Provider Identifier
1346323235
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO4906 Issued in LA
Practice address
31330 Highway 22 Ste 101
Springfield, LA 70462-7427
Phone
(225) 414-0690
Fax
(225) 414-0693
NPI assigned
Oct 23, 2006
Last updated
May 30, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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 APO4906 LA Primary
Registered Nurse 163W00000X RN101773 LA

Addresses

Primary practice location

31330 Highway 22 Ste 101
Springfield, LA 70462-7427

Mailing address

31330 Highway 22 Ste 101
Springfield, LA 70462-7427
Phone (225) 414-0690

Other identifiers 1

IdentifierTypeStateIssuer
1456080MedicaidLA

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
I20070423000086 LA Practitioner - Nurse Practitioner 2668577552 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Community Health SystemsGroup PAC ID 4284610437, shared by 23 NPIs, 22 clinicians

Practice addresses (Care Compare)

1207 PO Box
Greensburg, LA 70441

30575 Old Baton Rouge Hwy
Hammond, LA 70403-8350
Phone 22530620672045

721 Ave G
Kentwood, LA 70444-2601
Phone (225) 306-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN101773LAMDRegistered Nurse
APO4906LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Helena Parish Hospital CurrentSince Feb 1, 2019 Accepting new patients
St Helena Parish Hospital Current Accepting new patients
Southeast Community Health Systems Current Accepting new patients
Southeast Community Health Systems CurrentSince Aug 1, 2024 Accepting new patients
Convenient Care LLC Current Accepting new patients
Convenient Care LLC CurrentSince Jun 12, 2014 Accepting new patients
Southeast Community Health Systems CurrentSince Aug 1, 2024 Accepting new patients
Universal Behavioral Health Hospital Inc CurrentSince Jul 7, 2022 Accepting new patients
St. Helena Parish Hospital CurrentSince Feb 1, 2019 Accepting new patients
Southeast Community Health Systems CurrentSince Aug 1, 2024 Accepting new patients
Convenient Care LLC CurrentSince Jun 12, 2014 Accepting new patients
Family Healthcare of Loranger, LLC CurrentSince Jun 1, 2018 Accepting new patients
Southeast Community Health Systems Past Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

16874 Highway 43
Greensburg, LA 70441
Phone (225) 222-6111

490 Sitman St
Greensburg, LA 70441
Phone (225) 222-6059

6214 Highway 10
Greensburg, LA 70441
Phone (225) 222-3206

30575 Old Baton Rouge Hwy
Hammond, LA 70403
Phone (225) 306-2050

800 S Oak St
Hammond, LA 70403
Phone (504) 615-6419

336 E Railroad Ave
Independence, LA 70443
Phone (225) 306-2060

721 Avenue G
Kentwood, LA 70444
Phone (225) 306-2023

54002 Highway 1062
Loranger, LA 70446
Phone (985) 606-2273

6351 Main St
Zachary, LA 70791
Phone (225) 306-2026

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/univers-20f52cf9

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1346323235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31330 HIGHWAY 22 STE 101",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704627427",
            "telephone_number": "225-414-0690",
            "fax_number": "225-414-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31330 HIGHWAY 22 STE 101",
            "city": "SPRINGFIELD",
            "state": "LA",
            "postal_code": "704627427",
            "telephone_number": "225-414-0690",
            "fax_number": "225-414-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPULIS",
        "first_name": "DEBRALEE",
        "middle_name": "ANN",
        "credential": "APRN-BC, MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4906",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN101773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456080",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, LA

Sources for this page

Verify at the official NPI Registry.