Individual provider Active NPI

Stacy N Efferson, NP

  • Family Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1932532637
Registry record updated Aug 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07489 Issued in LA
Practice address
1101 Medical Center Blvd.
ER
Marrero, LA 70072
Phone
(504) 349-1533
Fax
(504) 349-1530
NPI assigned
Aug 16, 2013
Last updated
Aug 29, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2014

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 AP07489 LA Primary

Addresses

Primary practice location

1101 Medical Center Blvd.
ER
Marrero, LA 70072

Mailing address

1101 Medical Center Blvd.
ER
Marrero, LA 70072
Phone (504) 349-1533

Other identifiers 1

IdentifierTypeStateIssuer
AP07489OtherLAAPRN LICENSE

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
I20131010001614 LA Practitioner - Nurse Practitioner 2668606492 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana State University School of Medicine in New Orleans Faculty CurrentSince Mar 13, 2018 Accepting new patients
In and Out Urgent Care Covington, LLC CurrentSince Nov 9, 2019 Accepting new patients
Maxem Health Urgent Care Hammond CurrentSince Aug 26, 2017 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Jul 17, 2017 Accepting new patients
Independence Emergency Group LLC CurrentSince Apr 23, 2016 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

716 W 21st Ave
Covington, LA 70433

2741 W Thomas St
Ste A
Hammond, LA 70401
Phone (985) 542-2299

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409270400000",
    "number": "1932532637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD.",
            "address_2": "ER",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-1533",
            "fax_number": "504-349-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MEDICAL CENTER BLVD.",
            "address_2": "ER",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "70072",
            "telephone_number": "504-349-1533",
            "fax_number": "504-349-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFFERSON",
        "first_name": "STACY",
        "middle_name": "N",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2014-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07489",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APRN LICENSE",
            "identifier": "AP07489",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.