NPIMap

Individual provider Active NPI

Nacole Diaz, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Madisonville, LA
National Provider Identifier
1376926428
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08323 Issued in LA
Practice address
633 Piney Ridge Cir
Madisonville, LA 70447-3101
Phone
(504) 701-2875
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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 AP08323 LA Primary

Addresses

Primary practice location

633 Piney Ridge Cir
Madisonville, LA 70447-3101

Mailing address

633 Piney Ridge Cir
Madisonville, LA 70447-3101
Phone (504) 701-2875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151221002370 LA Practitioner - Nurse Practitioner 1153622956 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mary Bird Perkins Cancer CenterGroup PAC ID 4385646280, 95 clinicians

Practice addresses (Care Compare)

1203 S Tyler St
Suite 100
Covington, LA 70433-2353
Phone (985) 875-2234

4950 Essen LN
Baton Rouge, LA 70809-3738
Phone (225) 767-0847

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northshore Oncology Associates, LLC Current Accepting new patients
Mary Bird Perkins Cancer Center CurrentSince Jul 13, 2024 Accepting new patients
Gulfsouth Pulmonology, LLC CurrentSince Feb 5, 2019 Accepting new patients
Nni Covington LLC CurrentSince Feb 1, 2019 Accepting new patients

Locations

1203 S Tyler St
Ste 100
Covington, LA 70433
Phone (985) 875-2234

1203 S Tyler St
Ste 230
Covington, LA 70433
Phone (985) 614-7871

1970 N Highway 190
Covington, LA 70433
Phone (985) 400-5988

904 Catalpa St
Donaldsonville, LA 70346
Phone (225) 264-6800

1570 Lindberg Dr
Ste 12
Slidell, LA 70458
Phone (985) 641-1963

4950 Essen Ln
St George, LA 70809
Phone (225) 767-0847

Interoperability endpoints

  • Direct secure messaging: nacole.diaz@marybird.ikm.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436313600000",
    "number": "1376926428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 PINEY RIDGE CIR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473101",
            "telephone_number": "504-701-2875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 PINEY RIDGE CIR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473101",
            "telephone_number": "504-701-2875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "NACOLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.