Mari Melissa McNabb, APRN-BC FNP
Individual provider Active NPI Family Nurse Practitioner · Monroe, LA
NPI 1891712501 · NPPES record last updated Jan 6, 2022
Key facts
- NPI
- 1891712501
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- AP04116 (LA)
- Practice address
- 312 Grammont St Ste 404
Monroe, LA 71201-7403 - Phone
- (318) 966-2001
- Fax
- (318) 966-2007
- NPI assigned
- Jul 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 21
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Morehouse Community Medical Centers, Inc.
Practice addresses (Care Compare)
518 Durham St
Bastrop, LA 71220-5013
Phone (318) 283-8887
Hospital & facility affiliations
- Morehouse General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101213000631 | LA | Practitioner - Nurse Practitioner | 4284637091 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Community Medical Centers, Inc. | Current |
Accepting new patients | |
| Affinity Health Group, LLC | Current |
Accepting new patients | |
| Morehouse Community Medical Centers, Inc. | Nurse Practitioner | Current |
Accepting new patients |
| St Francis Medical Center, Inc | Past | Accepting new patients | |
| Morehouse Community Medical Centers, Inc | Family | Past | Accepting new patients |
| Family Medical Clinic of Mer Rouge | Past | Accepting new patients | |
| St Francis Medical Center, Inc | Past | Accepting new patients |
Locations
518 Durham St
Bastrop, LA 71220
Phone (318) 556-3333
402 Highland Ave
Bastrop, LA 71220
Phone (318) 239-3883
314 N Franklin St
Bastrop, LA 71220
Phone (318) 239-8045
501 Durham St
Bastrop, LA 71220
Phone (318) 281-2008
4787 Highway 151
Downsville, LA 71234
Phone (985) 805-6068
1126 Marion Hwy
Farmerville, LA 71241
Phone (318) 327-3550
335 Main St
Marion, LA 71260
Phone (318) 292-2795
108 N 16th St
Mer Rouge, LA 71261
Phone (318) 239-8010
681 Highway 594
Monroe, LA 71203
Phone (318) 381-0140
130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875
2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525
201 Riggs St
West Monroe, LA 71291
Phone (318) 323-3771
420 Wheelis St
West Monroe, LA 71292
Phone (318) 235-3661
100 Price Dr
West Monroe, LA 71292
Phone (318) 325-0973
Interoperability endpoints
- mari.mcnabb.1@11502.direct.athenahealth.com
- mmcnabb13435@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP04116 | LA | Yes |
Addresses
Primary practice location
312 Grammont St Ste 404
Monroe, LA 71201-7403
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5500
Other practice location 1
920 Oliver Rd Ste 1600B
Monroe, LA 71201-5745
Phone (318) 327-6132
Other practice location 2
2647 S Saint Elizabeth Blvd Ste 308
Gonzales, LA 70737-5020
Phone (225) 765-5500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1141836 | Medicaid | LA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmcnabb13435@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
Other providers in Monroe, LA
- Shuronda McMillian
- Simone Trahan McMillon
- Albert F. McMullen III
- Virginia McMullen
- Talisia McMurray
- Donald McNeal
- Elisha Ladeidra McNeal
- Jazma McQuarn
- Joseph McQuarn
- Benjamin Lynn McRae
All providers in Monroe, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.