Individual provider Active NPI

Stacey Accardo, FNP

  • Family Nurse Practitioner
  • Elizabeth, LA
National Provider Identifier
1982362919
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
222743 Issued in LA
Practice address
4855 Hwy 10 W Suite C
Elizabeth, LA 70638-7063
Phone
(800) 462-0742
Fax
(318) 634-5602
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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 222743 LA Primary

Addresses

Primary practice location

4855 Hwy 10 W Suite C
Elizabeth, LA 70638-7063

Mailing address

1007 Sycamore St Ste B
Cottonport, LA 71327-3403
Phone (800) 462-0742

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
I20220106000359 LA Practitioner - Nurse Practitioner 1759772452 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

457 W Waddil St
Suite a
Marksville, LA 71351-2619
Phone (800) 462-0742

6615 Saint Phillip St
Mansura, LA 71350-0900
Phone (800) 462-0742

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
222743LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Health Care Practitioners LLC CurrentSince Dec 28, 2021 Accepting new patients
Louisiana Health Care Practitioners LLC Current Accepting new patients
Collective Rural Healthcare System LLC CurrentSince Sep 15, 2022 Accepting new patients
Louisiana Health Care Practitioners LLC Past Accepting new patients
Louisiana Health Care Practitioners LLC Past Accepting new patients

Locations

1007 Sycamore St
Cottonport, LA 71327
Phone (318) 876-3696

1007 Sycamore St
Ste B
Cottonport, LA 71327
Phone (800) 462-0742

4855 Highway 10
Ste C
Elizabeth, LA 70638
Phone (318) 634-5600

457 W Waddil St
Ste A
Marksville, LA 71351
Phone (318) 253-7993

417 N Martin Luther King Dr
Simmesport, LA 71369
Phone (318) 941-2336

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10157/brand/1/csg/1/fhir/r4
  • Direct secure messaging: stacey.accardo.1@10157.direct.athenahealth.com

Organizations & group practices 5

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 2

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": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1982362919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 SYCAMORE ST STE B",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713273403",
            "telephone_number": "800-462-0742",
            "fax_number": "318-876-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4855 HWY 10 W SUITE C",
            "city": "ELIZABETH",
            "state": "LA",
            "postal_code": "706387063",
            "telephone_number": "800-462-0742",
            "fax_number": "318-634-5602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCARDO",
        "first_name": "STACEY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "222743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabeth, LA

Sources for this page

Verify at the official NPI Registry.