Individual provider Active NPI

Cesily Caldwell Cormier, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1699032045
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
703635 Issued in TX
Practice address
740 Hospital Dr
Suite 210
Beaumont, TX 77701-4664
Phone
(409) 839-4757
Fax
(409) 839-4294
NPI assigned
Apr 23, 2012
Last updated
Oct 31, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 703635 TX Primary

Addresses

Primary practice location

740 Hospital Dr
Suite 210
Beaumont, TX 77701-4664

Mailing address

5414 Woodridge Dr
Orange, TX 77632-6608
Phone (409) 454-6119

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130709000318 TX Practitioner - Nurse Practitioner 9537309968 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gary R Clayton MD PAGroup PAC ID 5092764324, 2 clinicians

Practice addresses (Care Compare)

740 Hospital Dr
Beaumont, TX 77701-4663
Phone (409) 839-4757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.02 of 100Reported as group
Quality
75.85
Improvement activities
40
Cost
72.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary R. Clayton, MD, PA CurrentSince Oct 15, 2013 Accepting new patients

Locations

740 Hospital Dr
Ste 210
Beaumont, TX 77701
Phone (409) 833-4200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDJCBA

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 2

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": "1335139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1699032045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5414 WOODRIDGE DR",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776326608",
            "telephone_number": "409-454-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 HOSPITAL DR",
            "address_2": "SUITE 210",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014664",
            "telephone_number": "409-839-4757",
            "fax_number": "409-839-4294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORMIER",
        "first_name": "CESILY",
        "middle_name": "CALDWELL",
        "name_prefix": "Mrs.",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-23",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "703635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

Verify at the official NPI Registry.