Jill Vaughan Reneau

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.200484.RX Issued in LA

Practice address

10374 US 165
Sterlington, LA 71280-0159

Phone

(318) 665-9950

NPI assigned

Jul 21, 2011

Last updated

Sep 9, 2016By the provider in NPPES

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

Other identifiers 1

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

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sterlington Critical Access Hospital LLCGroup PAC ID 4486652385, 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Fmol Health St Francis Hospital, Monroe, LA, CCN 190125

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Sterlington Critical Access Hospital L.L.C

  • Medical Physician Assistant
  • Bastrop, LA
  • NPI 1679935928
  Medicare reassignment Care Compare group NPD
• Sterlington Critical Access Hospital, L.L.C.

  dba Sterlington Rehabilitation Hospital

  • Rehabilitation Hospital
  • Bastrop, LA
  • NPI 1942257423
  NPD
• Sterlington Critical Access Hospital, LLC

  dba Sterlington Outpatient Rural Health Clinic

  • Rural Health Clinic/Center
  • Sterlington, LA
  • NPI 1134243736
  NPD (past)

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

• St Francis Medical Center, Inc

  • General Acute Care Hospital
  • Monroe, LA
  • NPI 1295723229
  Care Compare affiliation

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1972891109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 159",
            "city": "FAIRBANKS",
            "state": "LA",
            "postal_code": "712400159",
            "telephone_number": "318-366-9918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 US 165",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712800159",
            "telephone_number": "318-665-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEAU",
        "first_name": "JILL",
        "middle_name": "VAUGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200484.RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2304747",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Pennywell
• Bianca A Peters, CIT
• Phenix RX LLC (Parkway Pharmacy)
• Geneiva Dianne Phillips, LMFT
• Anna M Reed
• Camila Cristina Rodrigues Pereira
• Nathaniel Rogers
• RX Pros Inc (Sterlington Village Pharmacy)
• RX Pros, Inc
• Shaun Shows, COTA

• Physician Assistant in Sterlington, LA
• Providers in Sterlington, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.