Individual provider Active NPI

Christina Nicole Chaisson, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1700416831
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211053 Issued in LA
Practice address
105 Patriot Ave
Suite 101
Lafayette, LA 70508
Phone
(337) 534-0653
NPI assigned
Jan 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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 211053 LA Primary

Addresses

Primary practice location

105 Patriot Ave
Suite 101
Lafayette, LA 70508

Mailing address

118 Nottoway Cir
Lafayette, LA 70508-7345
Phone (732) 864-6493

Other names 1

  • Christina Nicole Simon Former name

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
I20200422000732 LA Practitioner - Nurse Practitioner 2466882014 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
Orthopaedic Reconstructive Sub-Specialists LLCGroup PAC ID 7416024633, 2 clinicians

Practice addresses (Care Compare)

105 Patriot St
Suite 101
Lafayette, LA 70508-6831
Phone (337) 534-0653

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Reconstructive Sub-Specialists LLC CurrentSince Mar 1, 2020 Accepting new patients

Locations

4501 Jackson Street Ext
Ste A
Alexandria, LA 71303
Phone (337) 534-0653

105 Patriot St
Ste 101
Lafayette, LA 70508
Phone (337) 534-0653

105 Patriot St
Lafayette, LA 70508
Phone (337) 981-2125

814 W McNeese St
Ste 100
Lake Charles, LA 70605
Phone (337) 562-3200

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 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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1700416831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 NOTTOWAY CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705087345",
            "telephone_number": "732-864-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT AVE",
            "address_2": "SUITE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70508",
            "telephone_number": "337-534-0653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAISSON",
        "first_name": "CHRISTINA",
        "middle_name": "NICOLE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "SIMON",
            "middle_name": "NICOLE",
            "credential": "MSN, APRN, FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.