Individual provider Active NPI

Cydnie Cooper Plaisance, NP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1356900716
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206212 Issued in LA
Practice address
4615 Parliament Dr Ste 204
Alexandria, LA 71303-2780
Phone
(318) 321-5245
Fax
(318) 542-4322
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 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 206212 LA Primary

Addresses

Primary practice location

4615 Parliament Dr Ste 204
Alexandria, LA 71303-2780

Mailing address

4615 Parliament Dr Ste 204
Alexandria, LA 71303-2780
Phone (318) 321-5245

Other identifiers 1

IdentifierTypeStateIssuer
2536915MedicaidLA

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
I20190827002916 LA Practitioner - Nurse Practitioner 6002144151 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Derm PLLCGroup PAC ID 0143593913, 3 clinicians

Practice addresses (Care Compare)

4615 Parliament Dr
Suite 204
Alexandria, LA 71303-2780
Phone (318) 321-5245

Merit-based Incentive Payment System (MIPS)

Final score
64.14 of 100Reported as individual
Quality
52.25
Promoting interoperability
68
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dean Derm PLLC CurrentSince Aug 23, 2021 Accepting new patients
Louisiana Cardiovascular & Thoracic Institute, LLC CurrentSince Jun 10, 2019 Accepting new patients
Acs Primary Care Physicians Louisiana PC Nurse Practitioner CurrentSince May 1, 2021 Accepting new patients

Locations

4615 Parliament Dr
Ste 204
Alexandria, LA 71303
Phone (318) 321-5245

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

3311 Prescott Rd
Ste 202
Alexandria, LA 71301
Phone (318) 442-0106

Interoperability endpoints

  • Direct secure messaging: cplaisance@deanderm.emadirect.md

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1356900716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 PARLIAMENT DR STE 204",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032780",
            "telephone_number": "318-321-5245",
            "fax_number": "318-542-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 PARLIAMENT DR STE 204",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032780",
            "telephone_number": "318-321-5245",
            "fax_number": "318-542-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLAISANCE",
        "first_name": "CYDNIE",
        "middle_name": "COOPER",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2536915",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.