Cleo 'Trey' Deason, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

08285 Issued in LA

Practice address

2408 Broadmoor Blvd
Suite B
Monroe, LA 71201-2994

Phone

(318) 807-0525

Fax

(318) 807-1077

NPI assigned

Jul 8, 2015

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Clinic LLCGroup PAC ID 4789668831, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Louisiana Medical Center Hospital, Ruston, LA, CCN 190086

Merit-based Incentive Payment System (MIPS)

Final score

81.51 of 100Reported as apm

Quality

60.04

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Green Clinic LLC

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1831178755
  Medicare reassignment Care Compare group NPD
• Affinity Health Group, LLC

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1023291226
  Medicare reassignment NPD
• Affinity Health Group, LLC

  dba Affinity Orthopaedic Clinic

  • Orthopaedic Surgery Physician
  • Monroe, LA
  • NPI 1861879249
  NPD
• Green Clinic LLC

  dba Quickcare of Ruston

  • Rural Health Clinic/Center
  • Ruston, LA
  • NPI 1578021093
  NPD
• Affinity Health Group, LLC

  dba Affinity Walk-In Clinic

  • Family Medicine Physician
  • Monroe, LA
  • NPI 1750667481
  NPD (past)

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

• CLHG-Ruston LLC

  dba Northern Louisiana Medical Center

  • General Acute Care Hospital
  • Ruston, LA
  • NPI 1962024026
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1881077808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2408 BROADMOOR BLVD",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712012994",
            "telephone_number": "318-807-0525",
            "fax_number": "318-807-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEASON",
        "first_name": "CLEO",
        "middle_name": "'TREY'",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-08",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "08285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2398938",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jatauria Deparis Shardaye Dean
• Odell Joseph Dean Jr., M.D.
• Sara W Dean, MS, RD, LDN
• Clyde Norris Dearman, PHARMD, AE-C, CDM
• Richard M Dearman, M.D.
• Geoffery David Deason, CRNA
• Martin Joseph Degravelle Jr., M.D.
• Michael-Ann Bryant Delcambre, PA-C
• Davlenn Nicole Deloney, LCSW
• Whitlie Delukie, SLP

• Family Nurse Practitioner in Monroe, LA
• Providers in Monroe, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.