Individual provider Active NPI

Anna Grace Braswell, APRN

  • Family Nurse Practitioner
  • Haynesville, LA
National Provider Identifier
1356168132
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237481 Issued in LA
Practice address
926 Frances Dr
Haynesville, LA 71038-6100
Phone
(318) 624-0554
Fax
(318) 624-3782
NPI assigned
Sep 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 237481 LA Primary

Addresses

Primary practice location

926 Frances Dr
Haynesville, LA 71038-6100

Mailing address

620 E College St
Homer, LA 71040-3202
Phone (318) 927-2024

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
I20241107001959 LA Practitioner - Nurse Practitioner 0749714145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Homer Memorial HospitalGroup PAC ID 1456322692, 22 clinicians

Practice addresses (Care Compare)

912 W Main St
Homer, LA 71040-3328
Phone (318) 927-3571

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
237481LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients
Homer Memorial Hospital CurrentSince Oct 1, 2024 Accepting new patients

Locations

926 Frances Dr
Haynesville, LA 71038
Phone (318) 624-0554

912 W Main St
Homer, LA 71040
Phone (318) 927-2024

620 E College St
Homer, LA 71040
Phone (318) 927-2024

Organizations & group practices 2

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.

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1356168132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E COLLEGE ST",
            "city": "HOMER",
            "state": "LA",
            "postal_code": "710403202",
            "telephone_number": "318-927-2024",
            "fax_number": "318-927-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 FRANCES DR",
            "city": "HAYNESVILLE",
            "state": "LA",
            "postal_code": "710386100",
            "telephone_number": "318-624-0554",
            "fax_number": "318-624-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "237481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haynesville, LA

Sources for this page

Verify at the official NPI Registry.