Individual provider Active NPI

Anna Chauvin

  • Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1538728779
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
206280 Issued in LA
Practice address
504 N Acadia Rd
Thibodaux, LA 70301-4862
Phone
(985) 447-5667
NPI assigned
Jun 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 206280 LA Primary

Addresses

Primary practice location

504 N Acadia Rd
Thibodaux, LA 70301-4862

Mailing address

2071 Havers St
Houma, LA 70360-7626

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
I20200727003680 LA Practitioner - Nurse Practitioner 7618391327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

Practice addresses (Care Compare)

2595 Hwy 1
Labadieville, LA 70372
Phone (985) 493-4993

506 N Acadia Rd
Thibodaux, LA 70301-4862
Phone (985) 447-5667

602 N Acadia Rd
Thibodaux, LA 70301-4823

602 N Acadia Rd
Thibodaux, LA 70301-4847

608 N Acadia Rd
Thibodaux, LA 70301-4847

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
206280LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 1, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Aug 1, 2020 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

506 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 448-1216

504 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 447-5667

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

Organizations & group practices 4

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 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": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1538728779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 HAVERS ST",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703607626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N ACADIA RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014862",
            "telephone_number": "985-447-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAUVIN",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "206280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.