Individual provider Active NPI

Robert Alan Prater, FNP

  • Family Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1417583576
Registry record updated Jun 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
213756 Issued in LA
Practice address
211 4TH St
Alexandria, LA 71301-8421
Phone
(318) 769-3000
NPI assigned
Mar 20, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2020

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 213756 LA Primary

Addresses

Primary practice location

211 4TH St
Alexandria, LA 71301-8421

Mailing address

221 Aidan St
Leesville, LA 71446-6815
Phone (337) 423-1067

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
I20200629002561 LA Practitioner - Nurse Practitioner 9436571940 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
St Tammany Emergency Physicians Group LLCGroup PAC ID 7214255967, 41 clinicians
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians

Practice addresses (Care Compare)

211 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3000

600 S Pine St
Deridder, LA 70634-4942
Phone (337) 462-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care LLC CurrentSince May 1, 2020 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Feb 7, 2025 Accepting new patients
South Central Physicians PLLC Family CurrentSince Mar 1, 2021 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince May 1, 2020 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince Mar 1, 2021 Accepting new patients
Concord Medical Group PLLC CurrentSince Mar 1, 2021 Accepting new patients
Acs Primary Care Physicians Louisiana PC CurrentSince Aug 22, 2020 Accepting new patients

Locations

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

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

103 W University Pkwy
Leesville, LA 71446
Phone (337) 239-2600

2929 Highway 190
Mandeville, LA 70471
Phone (985) 773-1550

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592006400000",
    "number": "1417583576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 AIDAN ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714466815",
            "telephone_number": "337-423-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 4TH ST",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713018421",
            "telephone_number": "318-769-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "ROBERT",
        "middle_name": "ALAN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-06-13",
        "certification_date": "2020-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "213756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.