Individual provider Active NPI

Shelby Smotherman Vascocu, NP

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1730619529
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09366 Issued in LA
Practice address
1616 Wellerman Rd
West Monroe, LA 71291-7427
Phone
(318) 625-6250
Fax
(904) 854-4878
NPI assigned
Jun 14, 2017
Last updated
Jul 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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 AP09366 LA Primary

Addresses

Primary practice location

1616 Wellerman Rd
West Monroe, LA 71291-7427

Mailing address

110 Moses PL
West Monroe, LA 71291-7841

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
I20170816001984 LA Practitioner - Nurse Practitioner 0446522114 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hni Medical Services at Glenwood LLCGroup PAC ID 0547518920, 9 clinicians

Practice addresses (Care Compare)

2299 Old Sterlington Rd
Monroe, LA 71203-3028
Phone (318) 325-9459

4380 Old Sterlington Rd
Monroe, LA 71203-2359
Phone (440) 542-5000

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (512) 730-3056

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hni Medical Services at Glenwood, LLC Nurse Practitioner CurrentSince Aug 14, 2023 Accepting new patients
Jimmy R Coughran a Medical Corporation CurrentSince Jul 4, 2017 Accepting new patients

Locations

1010 Davis Lake Rd
Columbia, LA 71418
Phone (318) 649-3766

4380 Old Sterlington Rd
Monroe, LA 71203
Phone (318) 343-1626

1616 Wellerman Rd
West Monroe, LA 71291
Phone (318) 387-2577

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

101 Fair Ave
Winnsboro, LA 71295
Phone (318) 435-8020

7500 Rialto Blvd
Ste 1-140
Austin, TX 78735

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 3

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": "1497398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1730619529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MOSES PL",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 WELLERMAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917427",
            "telephone_number": "318-625-6250",
            "fax_number": "904-854-4878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCOCU",
        "first_name": "SHELBY",
        "middle_name": "SMOTHERMAN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-14",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.