Individual provider Active NPI

Elvis Pele Siripannho, FNP

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1659920908
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206918 Issued in LA
Practice address
500 N Lewis St Ste 100
New Iberia, LA 70563-2046
Phone
(337) 367-5200
Fax
(337) 369-3074
NPI assigned
Sep 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 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 206918 LA Primary

Addresses

Primary practice location

500 N Lewis St Ste 100
New Iberia, LA 70563-2046

Mailing address

500 N Lewis St Ste 100
New Iberia, LA 70563-2046
Phone (337) 367-5200

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
I20191023000606 LA Practitioner - Nurse Practitioner 5496087538 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

500 N Lewis St
100 Cardiovascular Inst of South New Ib
New Iberia, LA 70563-2046
Phone (337) 367-5200

Hospital & facility affiliations

  • Iberia Medical Center Hospital, New Iberia, LA, CCN 190054
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206918LAMDFamily Nurse Practitioner

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1659920908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N LEWIS ST STE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632046",
            "telephone_number": "337-367-5200",
            "fax_number": "337-369-3074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N LEWIS ST STE 100",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632046",
            "telephone_number": "337-367-5200",
            "fax_number": "337-369-3074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIRIPANNHO",
        "first_name": "ELVIS",
        "middle_name": "PELE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-10",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.