Individual provider Active NPI

Ellen Ruth Gentile, APRN

  • Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1740560762
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP06610 Issued in LA
Practice address
3101 Cypress St
West Monroe, LA 71291-5286
Phone
(318) 644-2573
Fax
(318) 644-7177
NPI assigned
Aug 22, 2011
Last updated
Nov 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP06610 LA Primary

Addresses

Primary practice location

3101 Cypress St
West Monroe, LA 71291-5286

Mailing address

3101 Cypress St
West Monroe, LA 71291-5286
Phone (318) 644-2573

Other identifiers 1

IdentifierTypeStateIssuer
2383027MedicaidLA

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
I20141216000554 LA Practitioner - Nurse Practitioner 4385967793 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
Calhoun Family Care Clinic LLCGroup PAC ID 0042214892, 2 clinicians

Practice addresses (Care Compare)

1607 N 7TH St
Delta Family Care Clinic
West Monroe, LA 71291-4409
Phone (318) 644-2573

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.79

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Calhoun Family Care Clinic LLC CurrentSince Jan 1, 2017 Accepting new patients

Locations

1607 N 7th St
West Monroe, LA 71291
Phone (318) 644-2573

3101 Cypress St
Ste 9
West Monroe, LA 71291
Phone (318) 322-9252

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 5

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": "1313971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478822400000",
    "number": "1740560762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915286",
            "telephone_number": "318-644-2573",
            "fax_number": "318-644-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 CYPRESS ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915286",
            "telephone_number": "318-644-2573",
            "fax_number": "318-644-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENTILE",
        "first_name": "ELLEN",
        "middle_name": "RUTH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-22",
        "last_updated": "2016-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383027",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.