Kelly J Nastasi, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP10100 Issued in LA

Practice address

1416 Gobbler Head Dr
Bogalusa, LA 70427-6091

Phone

(985) 730-6970

Fax

(985) 735-8883

NPI assigned

Nov 8, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Our Lady of the Angels Hospital IncGroup PAC ID 7012144322, 78 clinicians

Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of the Angels Hospital Hospital, Bogalusa, LA, CCN 190312

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GDBCBD

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.

• Our Lady of the Angels Hospital, Inc.

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1912334533

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Our Lady of the Lake Physician Group LLC

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1033494943

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Our Lady of the Lake Physician Group LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Baton Rouge, LA
  • NPI 1235912502
  NPD
• Wash-St Tammany Reg Medical Center

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1508809088

  Nurse Practitioner

  NPD
• Gulf Coast Rheumatology

  • Specialist
  • Slidell, LA
  • NPI 1669630604
  NPD (past)
• Our Lady of the Lake Physician Group LLC

  • Hematology & Oncology Physician
  • Baton Rouge, LA
  • NPI 1184671455

  Nurse Practitioner

  NPD (past)
• Slidell Memorial Hospital

  • Specialist
  • Slidell, LA
  • NPI 1558301093
  NPD (past)
• Washington St. Tammany Regional Medical Center

  • Pharmacy
  • Bogalusa, LA
  • NPI 1801801436
  NPD (past)

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

• Our Lady of the Angels Hospital, Inc.

  • General Acute Care Hospital
  • Bogalusa, LA
  • NPI 1093140600
  Care Compare affiliation

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1912475773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "985-730-6970",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 GOBBLER HEAD DR",
            "city": "BOGALUSA",
            "state": "LA",
            "postal_code": "704276091",
            "telephone_number": "985-730-6970",
            "fax_number": "985-735-8883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79630 Highway 21",
            "address_purpose": "LOCATION",
            "city": "Bush",
            "state": "LA",
            "postal_code": "70431",
            "country_code": "US",
            "telephone_number": "985-730-6180",
            "fax_number": "985-730-6181",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 E Charles St",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704013305",
            "country_code": "US",
            "telephone_number": "504-669-2381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASTASI",
        "first_name": "KELLY",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-08",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "knastasi5166772@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "knastasi5166772@direct.casso.us.com",
            "address_1": "79630 Highway 21",
            "city": "Bush",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "79630 Highway 21",
            "city": "Bush",
            "state": "LA",
            "country_code": "US",
            "postal_code": "70431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Jeffrey Mohr, MD
• Crystal R Montgomery
• Megan A. Moran, NP
• Brennen Murphy
• Lisa Murray
• Nellie Byers Training Center
• Nellie Byers Training Center
• Nellie Byers Training Center
• Nellie Byers Training Center
• Nellie Byers Training Center

• Family Nurse Practitioner in Bogalusa, LA
• Providers in Bogalusa, 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 Feb 26, 2025; 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.