Active NPI
Joni K Acclis
- Family Nurse Practitioner
- Opelousas, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F07230589
- Practice address
- 3983 I 49 S Service Rd
Opelousas, LA 70570-0758 - Phone
- (337) 678-4856
- Fax
- (337) 594-1290
- NPI assigned
- Jul 27, 2023
- Last updated
- May 23, 2024
- 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 | F07230589 | LA | Primary |
Addresses
Primary practice location
3983 I 49 S Service Rd
Opelousas, LA 70570-0758
Mailing address
204 Rue Envie
Carencro, LA 70520-4030
Phone (225) 341-9723
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3983 I 49 S Service Rd
Opelousas, LA 70570-0758
Phone (337) 942-1126
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F07230589 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Opelousas General Health System | Current | Accepting new patients | |
| Opelousas General Health System Physician Practices | Current | Accepting new patients | |
| Signify Health, LLC | Nurse Practitioner | Current | Accepting new patients |
| Bioactive Infusion & Wellness of Baton Rouge, LLC | Current | Accepting new patients | |
| Opelousas General Health System Physician Practices | Past | Accepting new patients |
Locations
201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402
3935 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 594-6002
3975 I 49 S Service Rd
Ste 105
Opelousas, LA 70570
Phone (337) 597-0750
3975 I 49 S Service Rd
Ste 200
Opelousas, LA 70570
Phone (337) 594-0750
3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512
100 W Louisiana Ave
Rayne, LA 70578
Phone (337) 581-7009
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420
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.
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1295098747
-
- Adult Medicine Physician
- Baton Rouge, LA
- NPI 1942088638
-
dba Physician Practices
- Surgery Physician
- Opelousas, LA
- NPI 1275794679
-
- Family Medicine Physician
- Opelousas, LA
- NPI 1003164054
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Opelousas, LA
- NPI 1447230388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716422400000",
"number": "1437830858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 RUE ENVIE",
"city": "CARENCRO",
"state": "LA",
"postal_code": "705204030",
"telephone_number": "225-341-9723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3983 I 49 S SERVICE RD",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705700758",
"telephone_number": "337-678-4856",
"fax_number": "337-594-1290"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACCLIS",
"first_name": "JONI",
"middle_name": "K",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2024-05-23",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "F07230589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Opelousas, LA
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Region Supports & Services Center
- Acadiana Surgical Clinic Inc
- Acadiana Works, Inc.
- Ace Medlink LLC (Ace Medlink)
- Active Adult Day Healthcare LLC
- Acute Recovery Medical Services LLC
- Angela Adams-Wiltz
- Brian L. Adams, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.