Individual provider Active NPI

Elise Reeves, CRNA

  • Certified Registered Nurse Anesthetist
  • McComb, MS
National Provider Identifier
1497138598
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R883639 Issued in MS
Practice address
215 Marion Ave
McComb, MS 39648-2705
Phone
(601) 249-5500
NPI assigned
Jul 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R883639 MS Primary

Addresses

Primary practice location

215 Marion Ave
McComb, MS 39648-2705

Mailing address

215 Marion Ave
McComb, MS 39648-2705
Phone (601) 249-1802

Other practice location 1

15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone (985) 230-1683

Other identifiers 2

IdentifierTypeStateIssuer
07829507MedicaidMS
AP08334OtherLALA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151005002609 MS Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395053797 Reassigns benefits to 1 organization
I20180412001507 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5395053797 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, shared by 7 NPIs, 317 clinicians
Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434

52579 Hwy 51 S
Independence, LA 70443-2231
Phone (985) 878-1349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.64 of 100Reported as group
Quality
88.52
Promoting interoperability
100
Improvement activities
40
Cost
86.94

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R883639MSMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lallie Kemp Medical Ctr CurrentSince Sep 1, 2020 Accepting new patients
Lallie Kemp Medical Ctr Nurse Anesthetist, Certified Registered CurrentSince Sep 1, 2020 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2018 Accepting new patients
Jackson Anesthesia Associates PA CurrentSince Mar 1, 2018 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 1, 2021 Accepting new patients
North Oaks Medical Center, LLC CurrentSince May 30, 2025 Accepting new patients

Locations

42570 S Airport Rd
Hammond, LA 70403
Phone (985) 510-6135

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

1053 River Oaks Dr
#C
Flowood, MS 39232
Phone (601) 969-1430

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1436227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1497138598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-249-1802",
            "fax_number": "601-249-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 MARION AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482705",
            "telephone_number": "601-249-5500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15790 Paul Vega Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REEVES",
        "first_name": "ELISE",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-07",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MS",
            "license": "R883639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07829507",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA LICENSE",
            "identifier": "AP08334",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McComb, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.