Individual provider Active NPI

Carolyn Amburn, FNP-C

  • Family Nurse Practitioner
  • Merryville, LA
National Provider Identifier
1851136766
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
236297 Issued in LA
Practice address
3589 Highway 389
Merryville, LA 70653-3710
Phone
(409) 273-3400
NPI assigned
Jul 1, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Theoria Medical 317 clinicians
In Post Acute Specialists PC 29 clinicians
The Kidney Clinic LLC 4 clinicians
Post Acute Specialists LLC 180 clinicians

Practice addresses (Care Compare)

100 Kingston Rd
Sulphur, LA 70663-4016
Phone (248) 660-1220

11851 Cumberland Rd
Fishers, IN 46037-8273
Phone (317) 813-4444

3021 Lake St
Lake Charles, LA 70601-8383
Phone (337) 494-7090

326 Country Club Dr
New Albany, IN 47150-4618
Phone (812) 948-1311

36855 Ridge Rd
Willoughby, OH 44094-4128
Phone (440) 942-4342

7801 Detroit Ave
Cleveland, OH 44102-2813
Phone (216) 634-7400

811 E 12TH St
Mishawaka, IN 46544-5408
Phone (248) 660-1220

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, IN, TX, OH4 enrollments
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.

Medicare enrollment records 4

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20241105003300 LA Practitioner - Nurse Practitioner 0143754788 Reassigns benefits to 3 organizations
I20250812003871 IN Practitioner - Nurse Practitioner 0143754788 Reassigns benefits to 2 organizations
I20260310002692 TX Practitioner - Nurse Practitioner 0143754788 Reassigns benefits to 1 organization
I20260310004292 OH Practitioner - Nurse Practitioner 0143754788 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
236297LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Post Acute Specialists, PA CurrentSince Jan 31, 2026 Accepting new patients
In Post Acute Specialists, PC CurrentSince Jan 31, 2026 Accepting new patients
Post Acute Specialists, LLC CurrentSince Jan 31, 2026 Accepting new patients
Signify Health, LLC CurrentSince Jan 19, 2025 Accepting new patients
Complexcare Medical Group Southeast H PLLC CurrentSince Sep 1, 2025 Accepting new patients
Theoria Medical CurrentSince Jul 9, 2024 Accepting new patients

Locations

155 E Burks Dr
Bloomington, IN 47401
Phone (812) 322-4437

811 E 12th St
Mishawaka, IN 46544
Phone (574) 249-1917

534 15th St
Lake Charles, LA 70601
Phone (337) 439-8338

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

1736 Irving Pl
Shreveport, LA 71101
Phone (318) 221-1983

100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 236297 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

3589 Highway 389
Merryville, LA 70653-3710

Mailing address

3589 Highway 389
Merryville, LA 70653-3710
Phone (409) 273-3400

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 2, 2024.

{
    "created_epoch": "1719792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1851136766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3589 HIGHWAY 389",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533710",
            "telephone_number": "409-273-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3589 HIGHWAY 389",
            "city": "MERRYVILLE",
            "state": "LA",
            "postal_code": "706533710",
            "telephone_number": "409-273-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBURN",
        "first_name": "CAROLYN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "236297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merryville, LA

Sources for this page

Verify at the official NPI Registry.