Individual provider Active NPI

Terri A Pizanie, FNP-C

  • Family Nurse Practitioner
  • Pollock, LA
National Provider Identifier
1609354869
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10178 Issued in LA
Practice address
9465 US Highway 165
Pollock, LA 71467-3511
Phone
(318) 310-2510
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP10178 LA Primary

Addresses

Primary practice location

9465 US Highway 165
Pollock, LA 71467-3511

Mailing address

PO Box 1288
Winnfield, LA 71483-1288
Phone (318) 209-4510

Other names 1

  • Terri A Wells Former name

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
I20181010001687 LA Practitioner - Nurse Practitioner 0648522284 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Properties of Lafayette, LLC 16 clinicians
Natchitoches Parkway Clinic, LLC 12 clinicians

Practice addresses (Care Compare)

3601 Jackson St Extension
Alexandria, LA 71303-3002
Phone (318) 787-6877

5045 University Pkwy
Natchitoches, LA 71457-7185
Phone (318) 748-2873

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10178LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winn Community Health Center, Inc. CurrentSince Aug 1, 2018 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Aug 22, 2023 Accepting new patients
Winn Community Health Center, Inc. CurrentSince Aug 1, 2018 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Aug 22, 2023 Accepting new patients
Natchitoches Parkway Clinic, LLC CurrentSince Apr 20, 2024 Accepting new patients
Natchitoches Parkway Imaging, LLC CurrentSince Apr 20, 2024 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

340 Webb Smith Dr
Colfax, LA 71417
Phone (318) 627-3700

2705 Highway 28 E
Pineville, LA 71360
Phone (318) 704-6770

9465 Highway 165
Pollock, LA 71467
Phone (318) 310-2070

431 W Lafayette St
Winnfield, LA 71483
Phone (318) 209-4510

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1609354869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "WINNFIELD",
            "state": "LA",
            "postal_code": "714831288",
            "telephone_number": "318-209-4510",
            "fax_number": "318-209-4519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9465 US HIGHWAY 165",
            "city": "POLLOCK",
            "state": "LA",
            "postal_code": "714673511",
            "telephone_number": "318-310-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZANIE",
        "first_name": "TERRI",
        "middle_name": "A",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "WELLS",
            "middle_name": "A",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pollock, LA

Sources for this page

Verify at the official NPI Registry.