NPIMap

Individual provider Active NPI

Kerry L West, NP

  • Family Nurse Practitioner
  • Pineville, LA
National Provider Identifier
1659483907
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN68676APO4120 Issued in LA
Practice address
2495 Shreveport Highway
VA Medical
Pineville, LA 71306-9004
Phone
(318) 473-0010
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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 RN68676APO4120 LA Primary

Addresses

Primary practice location

2495 Shreveport Highway
VA Medical
Pineville, LA 71306-9004

Mailing address

8215 Highway 71 S
Lecompte, LA 71346-4704
Phone (318) 473-1964

Other identifiers 2

IdentifierTypeStateIssuer
4C428OtherLAMEDICARE-PTAN
1143715MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071205000210 LA Practitioner - Nurse Practitioner 5799874301 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Properties of Lafayette, LLCGroup PAC ID 8527292986, 16 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.21 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN68676APO4120LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DM Properties of Lafayette, LLC CurrentSince Dec 16, 2013 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 16, 2013 Accepting new patients
The Administrators of the Tulane Educational Fund Past Accepting new patients
Hospitalist Medicine Physicians of Rapides Parish, LLC Past Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients

Locations

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

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

Organizations & group practices 5

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1659483907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8215 HIGHWAY 71 S",
            "city": "LECOMPTE",
            "state": "LA",
            "postal_code": "713464704",
            "telephone_number": "318-473-1964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 SHREVEPORT HIGHWAY",
            "address_2": "VA MEDICAL",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713069004",
            "telephone_number": "318-473-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEST",
        "first_name": "KERRY",
        "middle_name": "L",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN68676APO4120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE-PTAN",
            "identifier": "4C428",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1143715",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.