Deanna Simoncelli Hodson, FNP-C
Individual provider Active NPI Nurse Practitioner · Larose, LA
NPI 1497750509 · NPPES record last updated Mar 23, 2023
Key facts
- NPI
- 1497750509
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 02816 (LA)
- Practice address
- 13030 Highway 308
Larose, LA 70373-2001 - Phone
- (985) 798-7000
- Fax
- (985) 798-7021
- NPI assigned
- Jun 15, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lafourche Parish Hospital Service District No 1
Pro-NP LLC
Practice addresses (Care Compare)
200 W 134TH PL
Cut Off, LA 70345-4143
Phone (985) 632-6401
200 W 134TH Place
Cut Off, LA 70345-4143
7534 Hwy 1
Lockport, LA 70374-3437
Phone (985) 532-1011
Hospital & facility affiliations
- Lady of the Sea General Hospital
- Ochsner St Anne General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061213000425 | LA | Practitioner - Nurse Practitioner | 7416956743 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02816 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pro-NP LLC | Nurse Practitioner | Current |
Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Current |
Accepting new patients | |
| Lafourche Parish Hospital Service District No.1 | Past | Accepting new patients | |
| Physician Practice Partners | Nurse Practitioner | Past |
Accepting new patients |
| NPI 1376590430 | Past | Accepting new patients |
Locations
1120 W Hutchinson Ave
Crowley, LA 70526
Phone (337) 783-5533
200 W 134th Pl
Cut Off, LA 70345
Phone (985) 325-9300
200 W 134th Pl
Fl 3
Cut Off, LA 70345
Phone (985) 325-2676
1201 3rd St
Gueydan, LA 70542
Phone (337) 232-0299
7534 Highway 1
Lockport, LA 70374
Phone (985) 532-1011
Interoperability endpoints
- deanna.hodson.1@748.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 02816 | LA | Yes |
Addresses
Primary practice location
13030 Highway 308
Larose, LA 70373-2001
Mailing address
13030 Hwy 308
Cut Off, LA 70373-2056
Phone (985) 798-7000
Other practice location 1
144 W 134th Pl
Cut Off, LA 70345-4128
Phone (985) 632-6233
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1532312 | Medicaid | LA |
Other providers in Larose, LA
- Lenny Anthony Folse
- Elmo Charles Gautreaux
- Jennifer Guidry
- Sabrina Hagar
- Kellie Hebert
- John G Jackson
- Jay Vega MD.,a.P.M.C.
- Lafourche Parish Hospital Service District No. 1
- Lafourche Parish Hospital Service District No. 1
- Rebecca Gates Ledet
All providers in Larose, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.