Individual provider Active NPI

Mandy Erwin, DNP

  • Nurse Practitioner
  • Denham Springs, LA
National Provider Identifier
1760420244
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP04790 Issued in LA
Practice address
35701 La Highway 16
Denham Springs, LA 70706-0548
Phone
(225) 791-2400
Fax
(225) 791-4400
NPI assigned
Jun 4, 2006
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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 AP04790 LA Primary

Addresses

Primary practice location

35701 La Highway 16
Denham Springs, LA 70706-0548

Mailing address

35701 La Highway 16
Denham Springs, LA 70706-0548
Phone (225) 791-2400

Other identifiers 1

IdentifierTypeStateIssuer
1332178MedicaidLA

Other names 1

  • Mandy Ball 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
I20051018000780 LA Practitioner - Nurse Practitioner 4284650367 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

35701 La Hwy 16
Denham Springs, LA 70706-0548
Phone (225) 791-2400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mandys Primary Healthcare LLC CurrentSince Jul 2, 2014 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients
Family Health of Louisiana, LLC PastSince Mar 31, 2014 Accepting new patients

Locations

35055 LA Highway 16
Ste 2H
Denham Springs, LA 70706
Phone (225) 243-6974

35701 LA Highway 16
Denham Springs, LA 70706
Phone (225) 791-2400

Interoperability endpoints

  • Direct secure messaging: mandy.erwin.1@31082.direct.athenahealth.com

Organizations & group practices 3

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1760420244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35701 LA HIGHWAY 16",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707060548",
            "telephone_number": "225-791-2400",
            "fax_number": "225-791-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35701 LA HIGHWAY 16",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707060548",
            "telephone_number": "225-791-2400",
            "fax_number": "225-791-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERWIN",
        "first_name": "MANDY",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1332178",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANDY",
            "last_name": "BALL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.