Individual provider Active NPI

Rena Marie Braswell, RN, FNP

  • Family Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1821180142
Registry record updated Mar 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04272 Issued in LA
Practice address
314 N Franklin St
Bastrop, LA 71220-3846
Phone
(318) 283-8887
Fax
(318) 281-6339
NPI assigned
Sep 28, 2006
Last updated
Mar 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP04272 LA
Family Nurse Practitioner 363LF0000X AP04272 LA Primary

Addresses

Primary practice location

314 N Franklin St
Bastrop, LA 71220-3846

Mailing address

PO Box 792
Bastrop, LA 71221-0792
Phone (318) 283-8887

Other identifiers 2

IdentifierTypeStateIssuer
653767OtherLAFAMILY NURSE PRACTITIONER
1162540MedicaidLA

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
I20070220000664 LA Practitioner - Nurse Practitioner 9436251543 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Price Dr
West Monroe, LA 71292-6315
Phone (318) 325-0973

518 Durham St
Bastrop, LA 71220-5013
Phone (318) 283-8887

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04272LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC CurrentSince Feb 15, 2014 Accepting new patients
Morehouse Community Medical Centers, Inc. Nurse Practitioner Current Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Morehouse Community Medical Centers, Inc. CurrentSince Mar 1, 2018 Accepting new patients
Affinity Health Group, LLC CurrentSince Feb 15, 2014 Accepting new patients
Walter M Sartor MD AMC Past Accepting new patients
Morehouse Community Medical Centers, Inc Family Past Accepting new patients
Curana Health of Louisiana LLC Past Accepting new patients

Locations

1001 W Madison Ave
Bastrop, LA 71220
Phone (318) 281-8422

314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045

402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883

501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008

518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333

4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068

1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550

335 Main St
Marion, LA 71260
Phone (318) 292-2795

108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010

1205 Royal Ave
Monroe, LA 71201
Phone (318) 654-4075

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

1825 N 18th St
Monroe, LA 71201
Phone (318) 322-7999

1825 N 18th St
Ste A
Monroe, LA 71201
Phone (318) 323-0362

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

681 Highway 594
Monroe, LA 71203
Phone (318) 556-8454

100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973

201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771

420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rena.braswell.1@11502.direct.athenahealth.com

Organizations & group practices 8

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 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742515200000",
    "number": "1821180142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 792",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712210792",
            "telephone_number": "318-283-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 N FRANKLIN ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712203846",
            "telephone_number": "318-283-8887",
            "fax_number": "318-281-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "RENA",
        "middle_name": "MARIE",
        "name_prefix": "Prof.",
        "credential": "RN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04272",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "653767",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1162540",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.