Active NPI
Penny Cummins Montcalm, NP
- Family Nurse Practitioner
- Mangham, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RNO077152 APO4877
- Practice address
- 261 Highway 132
Mangham, LA 71259-5269 - Phone
- (318) 248-2807
- Fax
- (318) 248-2967
- NPI assigned
- Sep 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RNO077152 APO4877 | LA | Primary |
Addresses
Primary practice location
261 Highway 132
Mangham, LA 71259-5269
Mailing address
130 Desiard St Ste 355
Monroe, LA 71201-7363
Phone (318) 807-7875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2458132 | Medicaid | LA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
3601 Desiard St
Monroe, LA 71203-4352
Phone (318) 397-1574
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.48 of 100
- Quality
- 73.04
- Improvement activities
- 40
- Cost
- 73.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RNO077152 APO4877 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Foot and Ankle Clinics, LLC | Current | Accepting new patients | |
| Affinity Health Group, LLC | Current | Accepting new patients | |
| Specialty Extended Care Hospital of Monroe LLC | Current | Accepting new patients | |
| The Foot and Ankle Clinics, LLC | Current | Accepting new patients | |
| Specialty Extended Care Hospital of Monroe, LLC | Current | Accepting new patients | |
| Affinity Health Group, LLC | Current | Accepting new patients |
Locations
261 Highway 132
Mangham, LA 71259
Phone (318) 248-2807
3601 Desiard St
Monroe, LA 71203
Phone (318) 397-1574
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
2408 Broadmoor Blvd
Monroe, LA 71201
Phone (318) 410-0002
309 Jackson St
Fl 7
Monroe, LA 71201
Phone (318) 327-4600
1325 Louisville Ave
Monroe, LA 71201
Phone (318) 807-1500
2309 Arkansas Rd
West Monroe, LA 71291
Phone (318) 397-1574
Interoperability endpoints
- penny.montcalm.1@8881.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Primary Podiatric Medicine Podiatrist
- Monroe, LA
- NPI 1013328996
-
- Family Medicine Physician
- Monroe, LA
- NPI 1023291226
-
- Long Term Care Hospital
- Monroe, LA
- NPI 1528385382
-
- Orthopaedic Surgery Physician
- Monroe, LA
- NPI 1861879249
-
- Skilled Nursing Facility
- Monroe, LA
- NPI 1174238737
-
- Primary Podiatric Medicine Podiatrist
- Monroe, LA
- NPI 1770104374
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1376877241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DESIARD ST STE 355",
"city": "MONROE",
"state": "LA",
"postal_code": "712017363",
"telephone_number": "318-807-7875",
"fax_number": "318-812-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 HIGHWAY 132",
"city": "MANGHAM",
"state": "LA",
"postal_code": "712595269",
"telephone_number": "318-248-2807",
"fax_number": "318-248-2967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTCALM",
"first_name": "PENNY",
"middle_name": "CUMMINS",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-25",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RNO077152 APO4877",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2458132",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mangham, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.