Individual provider Active NPI

Cody James Prejean

  • Certified Registered Nurse Anesthetist
  • Houma, LA
National Provider Identifier
1710514567
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
220291 Issued in LA
Practice address
413 Cavaness Dr
Houma, LA 70364-2221
Phone
(985) 859-6323
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 220291 LA Primary

Addresses

Primary practice location

413 Cavaness Dr
Houma, LA 70364-2221

Mailing address

PO Box 6014
Houma, LA 70361-6014
Phone (985) 850-6398

Other identifiers 1

IdentifierTypeStateIssuer
220291OtherLALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210614001967 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5193125128 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zephyr Anesthesia LLCGroup PAC ID 1658559125, 161 clinicians
Anesthesia Associates of Bayou Region LLCGroup PAC ID 7416357934, 22 clinicians
Childrens Hospital Anesthesia CorporationGroup PAC ID 0446152862, 281 clinicians
Paeon Health Services IncGroup PAC ID 1153697727, 55 clinicians

Practice addresses (Care Compare)

1717 Saint Charles Ave
New Orleans, LA 70130-5223
Phone (504) 529-6600

402 Dunn St
Houma, LA 70360-4704
Phone (985) 872-1661

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 613-0711

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Aug 9, 2023 Accepting new patients
Goodearth Anesthesia Services LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 1, 2023 Accepting new patients
Anesthesia Associates of Bayou Region LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Physician Practice Partners Nurse Anesthetist, Certified Registered CurrentSince Jun 14, 2021 Accepting new patients
Terrebonne Parish Hospital Service District #1 Current Accepting new patients
Ochsner Clinic LLC CurrentSince Aug 9, 2023 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 11, 2022 Accepting new patients
Childrens Hospital Anesthesia Corporation CurrentSince Nov 10, 2025 Accepting new patients

Locations

218 Corporate Dr
Houma, LA 70360
Phone (985) 853-1390

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

234 S Hollywood Rd
Houma, LA 70360
Phone (935) 219-6700

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860

1717 Saint Charles Ave
New Orleans, LA 70130
Phone (504) 529-6600

4608 Highway 1
Raceland, LA 70394
Phone (504) 537-6841

400 10th St E
Waconia, MN 55387

Organizations & group practices 9

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 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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1710514567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6014",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703616014",
            "telephone_number": "985-850-6398",
            "fax_number": "985-873-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 CAVANESS DR",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703642221",
            "telephone_number": "985-859-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREJEAN",
        "first_name": "CODY",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "220291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "220291",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houma, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.