Individual provider Active NPI

Christopher Blaine Vincent, APRN

  • Gerontology Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1619544574
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
220764 Issued in LA
Practice address
202 Bevington Dr
Lafayette, LA 70508-5443
Phone
(337) 412-4506
NPI assigned
Jun 9, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 220764 LA Primary

Addresses

Primary practice location

202 Bevington Dr
Lafayette, LA 70508-5443

Mailing address

202 Bevington Dr
Lafayette, LA 70508-5443
Phone (337) 412-4506

Other practice location 1

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Lafayette

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
I20210809003261 LA Practitioner - Nurse Practitioner 7719381011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acadiana Acute Care Associates, LLCGroup PAC ID 0547390056, 26 clinicians

Practice addresses (Care Compare)

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
60.55 of 100Reported as individual
Quality
60.24
Improvement activities
0
Cost
69.29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Acute Care Associates, LLC CurrentSince Jul 15, 2021 Accepting new patients

Locations

4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000

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": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1619544574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 BEVINGTON DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085443",
            "telephone_number": "337-412-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BEVINGTON DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705085443",
            "telephone_number": "337-412-4506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705086917",
            "country_code": "US",
            "telephone_number": "337-470-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "CHRISTOPHER",
        "middle_name": "BLAINE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "LA",
            "license": "220764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Lafayette",
            "affiliation": "N",
            "address_1": "202 Bevington Dr",
            "city": "Lafayette",
            "state": "LA",
            "country_code": "US",
            "postal_code": "705085443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.