Individual provider Active NPI

Patrick Henderson Wainright Jr., FNP-BC

  • Family Nurse Practitioner
  • Folsom, LA
National Provider Identifier
1871809004
Registry record updated May 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08775 Issued in LA
Practice address
82525 Hwy 25
St Tammany Physicians Network-Folsom
Folsom, LA 70437
Phone
(985) 898-4001
Fax
(985) 839-9884
NPI assigned
Aug 25, 2010
Last updated
May 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP08775 LA Primary

Addresses

Primary practice location

82525 Hwy 25
St Tammany Physicians Network-Folsom
Folsom, LA 70437

Mailing address

82525 Highway 25
Folsom, LA 70437-6111
Phone (985) 898-4001

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
I20161024000072 LA Practitioner - Nurse Practitioner 5294013413 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Tammany Parish Hospital Service District No 1Group PAC ID 0749273761, shared by 6 NPIs, 162 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-3743

201 Saint Ann Dr B
Mandeville, LA 70471-3219
Phone (985) 626-1717

82525 Hwy 25
Folsom, LA 70437-6111
Phone (985) 839-9895

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Tammany Parish Hospital Service District No 1 CurrentSince Oct 1, 2016 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Apr 11, 2017 Accepting new patients
St. Tammany Parish Hospital Service District No 1 CurrentSince Oct 1, 2016 Accepting new patients

Locations

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

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

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

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

Organizations & group practices 3

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 3

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": "1282694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590451200000",
    "number": "1871809004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82525 HIGHWAY 25",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "704376111",
            "telephone_number": "985-898-4001",
            "fax_number": "985-839-9884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82525 HWY 25",
            "address_2": "ST TAMMANY PHYSICIANS NETWORK-FOLSOM",
            "city": "FOLSOM",
            "state": "LA",
            "postal_code": "70437",
            "telephone_number": "985-898-4001",
            "fax_number": "985-839-9884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINRIGHT",
        "first_name": "PATRICK",
        "middle_name": "HENDERSON",
        "name_suffix": "Jr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-25",
        "last_updated": "2020-05-26",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Folsom, LA

Sources for this page

Verify at the official NPI Registry.