Individual provider Active NPI

Samantha Clawson Gilcrease, FNP

  • Family Nurse Practitioner
  • Jennings, LA
National Provider Identifier
1710627328
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224385 Issued in LA
Practice address
1322 Elton Rd Ste P
Jennings, LA 70546-4100
Phone
(378) 242-2823
Fax
(337) 824-0058
NPI assigned
Mar 31, 2022
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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 224385 LA Primary

Addresses

Primary practice location

1322 Elton Rd Ste P
Jennings, LA 70546-4100

Mailing address

203 W Tampico St
New Iberia, LA 70563-1305
Phone (337) 384-3575

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
I20220624001224 LA Practitioner - Nurse Practitioner 6002295870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1322 Elton Rd
Suite P
Jennings, LA 70546-4100
Phone (337) 824-2282

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Edwards Family Medicine a Professional Medical Corporation Family Medicine CurrentSince Jan 2, 2024 Accepting new patients
Edwards Family Medicine a Professional Medical Corporation Family Medicine Past Accepting new patients

Locations

1322 Elton Rd
Ste P
Jennings, LA 70546
Phone (337) 494-3278

Interoperability endpoints

  • FHIR API: https://fhir.healthtogo.me/fhir/r4/imed.efm
  • Direct secure messaging: sclawson336287@direct.ochsner.org

Organizations & group practices 2

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": "1648684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1710627328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W TAMPICO ST",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705631305",
            "telephone_number": "337-384-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 ELTON RD STE P",
            "city": "JENNINGS",
            "state": "LA",
            "postal_code": "705464100",
            "telephone_number": "378-242-2823",
            "fax_number": "337-824-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILCREASE",
        "first_name": "SAMANTHA",
        "middle_name": "CLAWSON",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-31",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jennings, LA

Sources for this page

Verify at the official NPI Registry.