Individual provider Active NPI

Deepa Vijay Panchang, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1902390941
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP09991 Issued in LA
Practice address
1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone
(504) 821-2601
Fax
(504) 814-6047
NPI assigned
Jun 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN152615 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1130245 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP09991 LA Primary
Family Nurse Practitioner 363LF0000X AP09991 LA

Addresses

Primary practice location

1631 Elysian Fields Ave
New Orleans, LA 70117-8208

Mailing address

1631 Elysian Fields Ave
New Orleans, LA 70117-8208
Phone (504) 821-2601

Other practice location 1

2515 Canal St
New Orleans, LA 70119
Phone (504) 821-2601

Other identifiers 1

IdentifierTypeStateIssuer
2483650MedicaidLA

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
I20190220001024 LA Practitioner - Nurse Practitioner 9537407341 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN152615LAMDRegistered Nurse
AP09991LAMDFamily Nurse Practitioner
1130245TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
No AIDS Task Force CurrentSince Jul 28, 2025 Accepting new patients

Locations

1631 Elysian Fields Ave
New Orleans, LA 70117
Phone (504) 821-2601

2515 Canal St
New Orleans, LA 70119
Phone (504) 821-2601

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1529539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1902390941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 ELYSIAN FIELDS AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701178208",
            "telephone_number": "504-821-2601",
            "fax_number": "504-814-6047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2515 Canal St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "70119",
            "country_code": "US",
            "telephone_number": "504-821-2601",
            "fax_number": "888-736-9806",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANCHANG",
        "first_name": "DEEPA",
        "middle_name": "VIJAY",
        "credential": "PMHNP-BC, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-21",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN152615",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1130245",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP09991",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09991",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2483650",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.