Individual provider Active NPI

Mark W Wright, NP

  • Nurse Practitioner
  • Gray, LA
National Provider Identifier
1770772170
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05300 Issued in LA
Practice address
191 Innovation CT Ste a
Gray, LA 70359-3131
Phone
(985) 303-4100
Fax
(985) 303-4101
NPI assigned
Oct 22, 2007
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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 AP05300 LA Primary

Addresses

Primary practice location

191 Innovation CT Ste a
Gray, LA 70359-3131

Mailing address

191 Innovation CT Ste a
Gray, LA 70359-3131
Phone (985) 303-4100

Other practice location 1

1990 Industrial Blvd
Houma, LA 70363-7055
Phone (985) 868-9300 ext. 1011

Other identifiers 1

IdentifierTypeStateIssuer
1031101MedicaidLA

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
I20080107000254 LA Practitioner - Nurse Practitioner 2163502949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delta Medical GroupGroup PAC ID 4688977549, 10 clinicians
Cardiovascular Institute of the South, LLCGroup PAC ID 3779497441, 145 clinicians

Practice addresses (Care Compare)

1340 Grand Caillou Rd
Houma, LA 70363-5558
Phone (985) 262-4424

225 Dunn St
Houma, LA 70360-4413
Phone (985) 876-0300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medical Group CurrentSince Feb 1, 2017 Accepting new patients

Locations

1340 Grand Caillou Rd
Houma, LA 70363
Phone (985) 262-4424

1505 Highway 90 E
Morgan City, LA 70380
Phone (985) 745-6000

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1770772170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 INNOVATION CT STE A",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703593131",
            "telephone_number": "985-303-4100",
            "fax_number": "985-303-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 INNOVATION CT STE A",
            "city": "GRAY",
            "state": "LA",
            "postal_code": "703593131",
            "telephone_number": "985-303-4100",
            "fax_number": "985-303-4101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1990 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703637055",
            "country_code": "US",
            "telephone_number": "985-868-9300 x1011",
            "fax_number": "985-851-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "MARK",
        "middle_name": "W",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1031101",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gray, LA

Sources for this page

Verify at the official NPI Registry.