NPIMap

Individual provider Active NPI

Vernilyn Nocon Juan, M.D.

  • Family Medicine Physician
  • New Orleans, LA
National Provider Identifier
1770793911
Registry record updated Mar 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
203174 Issued in LA
Practice address
3525 Prytania St
Suite 301
New Orleans, LA 70115-3500
Phone
(504) 897-8118
Fax
(504) 897-8466
NPI assigned
May 23, 2007
Last updated
Mar 6, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 203174 LA Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X MD 203174 LA

Addresses

Primary practice location

3525 Prytania St
Suite 301
New Orleans, LA 70115-3500

Mailing address

3600 Prytania St
Suite 35
New Orleans, LA 70115-3628
Phone (504) 897-7197

Other identifiers 1

IdentifierTypeStateIssuer
1078182MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101220000745 LA Practitioner - Family Practice 8325236268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

100 W Harrison Ave
Suite 101
New Orleans, LA 70124-1357
Phone (504) 325-2929

3700 Saint Charles Ave
New Orleans, LA 70115-4637

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
203174LAMDFamily Medicine Physician
MD 203174LAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Family Medicine CurrentSince Nov 15, 2010 Accepting new patients
Touro Infirmary Past Accepting new patients

Locations

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

3525 Prytania St
Ste 301
New Orleans, LA 70115
Phone (504) 897-8118

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

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 12

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1770793911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST",
            "address_2": "SUITE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153628",
            "telephone_number": "504-897-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 PRYTANIA ST",
            "address_2": "SUITE 301",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153500",
            "telephone_number": "504-897-8118",
            "fax_number": "504-897-8466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAN",
        "first_name": "VERNILYN",
        "middle_name": "NOCON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "203174",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "LA",
            "license": "MD 203174",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1078182",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.