Renee Mitchell Bujol, FNP
Individual provider Active NPI Family Nurse Practitioner · Port Allen, LA
NPI 1548751142 · NPPES record last updated Jan 26, 2021
Key facts
- NPI
- 1548751142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP09897 (LA)
- Practice address
- 4353 Hwy 1 S
Port Allen, LA 70767-5826 - Phone
- (225) 749-2645
- Fax
- (225) 749-8216
- NPI assigned
- May 20, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Our Lady of the Lake Physician Group LLC
Practice addresses (Care Compare)
4353 Hwy 1 S
Port Allen, LA 70767-5826
Phone (225) 749-2645
7777 Hennessy Blvd
Baton Rouge, LA 70808-4363
Hospital & facility affiliations
- Our Lady of the Lake Regional Medical Center
- Ochsner Medical Center - Baton Rouge
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 |
|---|---|---|---|---|
| I20180605000351 | LA | Practitioner - Nurse Practitioner | 6608131107 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Our Lady of the Lake Physician Group LLC | Nurse Practitioner | Past | Accepting new patients |
Locations
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
4353 Hwy 1 S
Port Allen, LA 70767
Phone (225) 749-2645
Interoperability endpoints
- rbujol38804@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09897 | LA | Yes |
Addresses
Primary practice location
4353 Hwy 1 S
Port Allen, LA 70767-5826
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (222) 526-0002
Other practice location 1
11055 Shoe Creek Dr
Baton Rouge, LA 70818-4022
Phone (225) 261-4493
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rbujol38804@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epihosted.com/FHIRPoxy/api/FHIR/DSTU2/ | Other |
Other providers in Port Allen, LA
- Blessed Community Transportation
- Blessed Community Transportation LLC
- Sandra Bourque
- Monique J Brown
- Stella E Brown
- Brooke Allemand Buriege
- Rhanda Callahan
- Madeline Capello
- Elaine Daniel Carpenter
- Cedar Place LLC
All providers in Port Allen, LA · Family 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 Jan 26, 2021. 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.