Individual provider Active NPI

Vernon K Palmisano, MD

  • Family Medicine Physician
  • Bogalusa, LA
National Provider Identifier
1851347710
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.019117 Issued in LA
Practice address
420 Avenue F
Bogalusa, LA 70427-3634
Phone
(985) 730-6700
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.019117 LA Primary

Addresses

Primary practice location

420 Avenue F
Bogalusa, LA 70427-3634

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other identifiers 1

IdentifierTypeStateIssuer
1393771MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other
Direct Messaging Address vpalmisano104492@direct.casso.us.com Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000398 LA Practitioner - Family Practice 0345270914 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in New Orleans, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paradigm Health SystemGroup PAC ID 7012162464, 36 clinicians

Practice addresses (Care Compare)

3190 E Causeway Approach
Mandeville, LA 70448-3563
Phone (985) 882-4500

64301 Hwy 434
Lacombe, LA 70445-5411
Phone (985) 882-4500

987 Robert Blvd
Slidell, LA 70458-2009
Phone (985) 882-4500

995 Robert Blvd
Slidell, LA 70458-2009
Phone (985) 520-0909

Hospital & facility affiliations

  • Sterling Surgical Hospital Hospital, Slidell, LA, CCN 190256

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
019117LAMDPharmacist
MD.019117LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Urgent Care Ascension LLC CurrentSince Mar 1, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 21, 2021 Accepting new patients
St Tammany Parish Hospital Service District No 1 CurrentSince Feb 1, 2022 Accepting new patients
Convenient Care LLC CurrentSince May 1, 2017 Accepting new patients
Paradigm Health System CurrentSince Jan 1, 2026 Accepting new patients
LCMC Urgent Care LLC CurrentSince May 13, 2017 Accepting new patients
Lake Urgent Care Ascension LLC Current Accepting new patients
Convenient Care LLC CurrentSince May 1, 2017 Accepting new patients
Convenient Care LLC Current Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Mar 1, 2021 Accepting new patients
St. Tammany Parish Hospital Service District No 1 Family Medicine CurrentSince Feb 23, 2022 Accepting new patients
Northlake Neurological Institute LLC Past Accepting new patients
Paradigm Health System Past Accepting new patients
St. Tammany Parish Hospital Service District No 1 Past Accepting new patients

Locations

10310 The Grove Blvd
Baton Rouge, LA 70836
Phone (225) 761-5239

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

82525 Highway 25
Folsom, LA 70437
Phone (985) 839-9895

64301 Highway 434
Lacombe, LA 70445
Phone (985) 520-0909

1520 Highway 22 W
Madisonville, LA 70447
Phone (985) 773-1600

201 Saint Ann Dr
Ste B
Mandeville, LA 70471
Phone (985) 626-1717

3190 E Causeway Approach
Mandeville, LA 70448

4770 S I 10 Service Rd W
Ste 110
Metairie, LA 70001
Phone (504) 210-0890

1514 Jefferson Hwy
New Orleans, LA 70121

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

2600 Belle Chasse Hwy
Ste B2
Terrytown, LA 70056
Phone (504) 309-7108

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1851347710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 AVENUE F",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704273634",
            "telephone_number": "985-730-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "VERNON",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.019117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1393771",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "420 Avenue F",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273634",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vpalmisano104492@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "vpalmisano104492@direct.casso.us.com",
            "address_1": "420 Avenue F",
            "city": "Bogalusa",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704273634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bogalusa, LA

Sources for this page

Verify at the official NPI Registry.