Individual provider Active NPI

Nichole Gordon Miller, FNP-C

  • Family Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1356806830
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203738 Issued in LA
Practice address
1200 Hospital Dr Ste 4
Opelousas, LA 70570-6552
Phone
(337) 948-7090
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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 203738 LA Primary

Addresses

Primary practice location

1200 Hospital Dr Ste 4
Opelousas, LA 70570-6552

Mailing address

1565 S Market St
Opelousas, LA 70570-4813
Phone (337) 351-8956

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
I20190312001765 LA Practitioner - Nurse Practitioner 9537409420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Practitioners LLCGroup PAC ID 4587924188, 16 clinicians

Practice addresses (Care Compare)

1119 Prudhomme Cir
Suite F
Opelousas, LA 70570-6516
Phone (337) 447-4027

Hospital & facility affiliations

  • St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
  • Elara Caring Home health agency, Opelousas, LA, CCN 197062
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203738LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Practitioners LLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Acadiana Practitioners LLC Current Accepting new patients
Acadiana Medicine Clinic, Apmc Family CurrentSince Jan 20, 2022 Accepting new patients
Acadiana Practitioners LLC CurrentSince Apr 1, 2025 Accepting new patients
Med Ed of Louisiana, Inc. PastSince Feb 1, 2004 Accepting new patients

Locations

209 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-0222

1200 Hospital Dr
Ste 4
Opelousas, LA 70570
Phone (337) 447-4027

1119 Prudhomme Cir
Opelousas, LA 70570
Phone (337) 447-4027

1119 Prudhomme Cir
Ste F
Opelousas, LA 70570
Phone (337) 942-5899

414 Saizan Ave
Port Barre, LA 70577
Phone (337) 447-4027

166 Oak Tree Park Dr
#B
Sunset, LA 70584
Phone (337) 447-4027

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJFDAD

Organizations & group practices 5

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 4

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": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1356806830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 S MARKET ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705704813",
            "telephone_number": "337-351-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HOSPITAL DR STE 4",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706552",
            "telephone_number": "337-948-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "NICHOLE",
        "middle_name": "GORDON",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "203738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.