NPIMap

Individual provider Active NPI

Amanda Jane Pitre, APRN

  • Nurse Practitioner
  • Dequincy, LA
National Provider Identifier
1659946416
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
218816 Issued in LA
Practice address
302 W 4TH St
Dequincy, LA 70633-3404
Phone
(337) 222-5524
NPI assigned
May 24, 2021
Last updated
Jun 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 218816 LA Primary
Family Nurse Practitioner 363LF0000X 218816 LA

Addresses

Primary practice location

302 W 4TH St
Dequincy, LA 70633-3404

Mailing address

302 W 4TH St
Dequincy, LA 70633-3404
Phone (337) 222-5524

Other practice location 1

421 N Avenue F
Crowley, LA 70526-5044
Phone (337) 514-4757

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
I20240516001138 LA Practitioner - Nurse Practitioner 6901272236 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1020 Main St
Hackberry, LA 70645-3303
Phone (337) 762-3762

920 1St Ave
Sulphur, LA 70663-3425
Phone (337) 528-7472

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218816LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince May 15, 2024 Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jun 2, 2025 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jun 2, 2025 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Jun 25, 2024 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients

Locations

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

920 1st Ave
Sulphur, LA 70663
Phone (337) 527-6301

Interoperability endpoints

  • Direct secure messaging: amanda.pitre@495859721895940.direct.elationemr.com
  • Direct secure messaging: apitre13140@direct.casso.us.com

Organizations & group practices 8

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 10

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": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1659946416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333404",
            "telephone_number": "337-222-5524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333404",
            "telephone_number": "337-222-5524"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "421 N Avenue F",
            "address_purpose": "LOCATION",
            "city": "Crowley",
            "state": "LA",
            "postal_code": "705265044",
            "country_code": "US",
            "telephone_number": "337-514-4757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PITRE",
        "first_name": "AMANDA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "218816",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218816",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dequincy, LA

Sources for this page

Verify at the official NPI Registry.