Individual provider Active NPI

Averie Durand Rachal

  • Family Nurse Practitioner
  • Marksville, LA
National Provider Identifier
1881360170
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218404 Issued in LA
Practice address
4239 Highway 1192 Ste 100
Marksville, LA 71351-4772
Phone
(318) 228-2418
Fax
(318) 409-4199
NPI assigned
Aug 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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 218404 LA Primary

Addresses

Primary practice location

4239 Highway 1192 Ste 100
Marksville, LA 71351-4772

Mailing address

PO Box 1089
Hammond, LA 70404-1089
Phone (985) 892-7070

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
I20210909000499 LA Practitioner - Nurse Practitioner 7618373127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

4239 Hwy 1192
Suite 100
Marksville, LA 71351-4772
Phone (318) 228-2418

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218404LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Jul 25, 2022 Accepting new patients
Forefront Telecare Inc Past Accepting new patients

Locations

211 4th St
Ste B
Alexandria, LA 71301

211 4th St
Ste 1B
Alexandria, LA 71301
Phone (318) 545-0655

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

929 Verone Ter
Leesville, LA 71446
Phone (337) 282-1091

4239 Highway 1192
Ste 100
Marksville, LA 71351
Phone (318) 253-0866

115 Hospital Dr
Oakdale, LA 71463
Phone (318) 228-2415

Organizations & group practices 2

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 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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1881360170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1089",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041089",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4239 HIGHWAY 1192 STE 100",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713514772",
            "telephone_number": "318-228-2418",
            "fax_number": "318-409-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAL",
        "first_name": "AVERIE",
        "middle_name": "DURAND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2023-01-12",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.