Individual provider Active NPI

Joni K Acclis

  • Family Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1437830858
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F07230589 Issued in LA
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231024002237 LA Practitioner - Nurse Practitioner 2769838937 Reassigns benefits to 2 organizations

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

LicenseStateTypeSpecialty
F07230589LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Opelousas General Health System CurrentSince Apr 29, 2024 Accepting new patients
Opelousas General Health System Physician Practices CurrentSince Apr 29, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Apr 1, 2025 Accepting new patients
Bioactive Infusion & Wellness of Baton Rouge, LLC CurrentSince Oct 17, 2023 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.

Hospital & facility affiliations 1

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

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

Sources for this page

Verify at the official NPI Registry.