Individual provider Active NPI

Amber Delasalle, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1538816616
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
225431 Issued in LA
Practice address
15770 Paul Vega MD Dr Ste 202
Hammond, LA 70403-1475
Phone
(985) 230-7495
NPI assigned
Mar 8, 2022
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 897729 MS
Registered Nurse 163W00000X 145631 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 225431 LA Primary

Addresses

Primary practice location

15770 Paul Vega MD Dr Ste 202
Hammond, LA 70403-1475

Mailing address

15770 Paul Vega MD Dr Ste 202
Hammond, LA 70403-1475
Phone (985) 230-7495

Other identifiers 2

IdentifierTypeStateIssuer
1538816616OtherLANPPES
2593340MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL Epic Health Information Exchange (HIE)
FHIR URL https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/ North Oaks Physician Group, LLC

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
I20220909000042 LA Practitioner - Nurse Practitioner 7911381090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Oaks Physician Group LLCGroup PAC ID 9133378870, 62 clinicians

Practice addresses (Care Compare)

15770 Paul Vega MD Dr
Suite 202
Hammond, LA 70403-1475
Phone (985) 230-7495

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
74.29
Promoting interoperability
100
Improvement activities
40
Cost
68.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
145631LAMDRegistered Nurse
897729MSMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC CurrentSince Aug 1, 2022 Accepting new patients

Locations

15770 Paul Vega Md Dr
Ste 202
Hammond, LA 70403
Phone (985) 230-7495

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

Organizations & group practices 1

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": "1646697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1538816616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15770 PAUL VEGA MD DR STE 202",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031475",
            "telephone_number": "985-230-7495",
            "fax_number": "985-230-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15770 PAUL VEGA MD DR STE 202",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031475",
            "telephone_number": "985-230-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELASALLE",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "897729",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "145631",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "225431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1538816616",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2593340",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64030 LA-434",
            "city": "Lacombe",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://soapproxyprd.northoaks.org/nohsfhir/api/FHIR/R4/",
            "affiliation": "Y",
            "affiliationName": "North Oaks Physician Group, LLC",
            "address_1": "15770 Paul Vega Md Dr Ste 202",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031475",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.