Active NPI
Hollie Bronson Ortis, NP
- Family Nurse Practitioner
- Saint Amant, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1925
- Practice address
- 13489 Highway 431 Ste a
Saint Amant, LA 70774-3213 - Phone
- (225) 765-5500
- Fax
- (225) 644-2280
- NPI assigned
- Jul 31, 2008
- Last updated
- Oct 24, 2023
- 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 | 1925 | LA | Primary |
Addresses
Primary practice location
13489 Highway 431 Ste a
Saint Amant, LA 70774-3213
Mailing address
2647 S Saint Elizabeth Blvd
Gonzales, LA 70737-5021
Phone (225) 647-8511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1362824 | Medicaid | LA |
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, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
13489 Hwy 431
Suite a
Saint Amant, LA 70774-3213
Phone (225) 647-8511
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Ascension Emergency Physicians LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Nurse Practitioner | Past | Accepting new patients |
| Our Lady of the Lake Assumption Community Hospital | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975
2647 S Saint Elizabeth Blvd
Ste 125
Gonzales, LA 70737
Phone (225) 647-9675
14225 Highway 73
Prairieville, LA 70769
Phone (225) 673-3033
13489 Highway 431
#A
Saint Amant, LA 70774
Phone (225) 644-2288
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
Nurse Practitioner
-
- Emergency Medicine Physician
- Gonzales, LA
- NPI 1699118505
-
dba Our Lady of the Lake Children's Health Developmental Center at McMains
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
dba Assumption Community Hospital
- Rural Health Clinic/Center
- Napoleonville, LA
- NPI 1710975545
-
dba OLOL Physician Surgical Specialty
- Hematology & Oncology Physician
- Baton Rouge, LA
- NPI 1184671455
Nurse Practitioner
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Our Lady of the Lake Regional Medical Center
- General Acute Care Hospital
- Baton Rouge, LA
- NPI 1366436123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698105600000",
"number": "1528224425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2647 S SAINT ELIZABETH BLVD",
"city": "GONZALES",
"state": "LA",
"postal_code": "707375021",
"telephone_number": "225-647-8511",
"fax_number": "225-644-5213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13489 HIGHWAY 431 STE A",
"city": "SAINT AMANT",
"state": "LA",
"postal_code": "707743213",
"telephone_number": "225-765-5500",
"fax_number": "225-644-2280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIS",
"first_name": "HOLLIE",
"middle_name": "BRONSON",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-31",
"last_updated": "2023-10-24",
"certification_date": "2023-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "1925",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1362824",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Saint Amant, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2023; 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.