Individual provider Active NPI

Elidia Anne Dewitt, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1982607420
Registry record updated Sep 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04211 Issued in LA
Practice address
9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993
Phone
(225) 368-2300
Fax
(225) 368-2280
NPI assigned
May 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2019

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 AP04211 LA Primary

Addresses

Primary practice location

9118 Bluebonnet Centre Blvd
Baton Rouge, LA 70809-2993

Mailing address

PO Box 62600 Dept 1744
New Orleans, LA 70162-0001
Phone (225) 368-2300

Other identifiers 1

IdentifierTypeStateIssuer
1158691MedicaidLA

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
I20040622001637 LA Practitioner - Nurse Practitioner 2062497175 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DM Properties of Lafayette, LLCGroup PAC ID 8527292986, 16 clinicians
Natchitoches Parkway Clinic, LLCGroup PAC ID 2860833340, 12 clinicians
Professional Emergency Physician Associates, LLCGroup PAC ID 1759317092, 78 clinicians

Practice addresses (Care Compare)

2705 Hwy 28 E
Pineville, LA 71360-5712
Phone (318) 704-6770

5045 University Pkwy
Natchitoches, LA 71457-7185
Phone (318) 748-2873

5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone (225) 358-4853

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064
  • Christus St Frances Cabrini Hospital Hospital, Alexandria, LA, CCN 190019
  • Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007
  • Lasalle General Hospital Hospital, Jena, LA, CCN 190145

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Parish Emergency Physicians Group LLC CurrentSince Sep 1, 2016 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Oct 1, 2022 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 27, 2018 Accepting new patients
Professional Emergency Physician Associates, LLC CurrentSince Feb 1, 2013 Accepting new patients
Natchitoches Parkway Clinic, LLC CurrentSince Jun 2, 2024 Accepting new patients
Natchitoches Parkway Imaging, LLC CurrentSince Jun 2, 2024 Accepting new patients
Thibodaux Emergency Physicians Group LLC CurrentSince Oct 28, 2022 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Dec 27, 2018 Accepting new patients
River Oaks Emergency Group, LLC CurrentSince Feb 28, 2022 Accepting new patients
Sheridan Emergency Physician Services of Louisiana Inc Past Accepting new patients
Stanocola Employees Medical and Hospital Association, Inc Past Accepting new patients
Hospital Medicine Associates LLC Past Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

5439 Airline Hwy
Baton Rouge, LA 70805
Phone (225) 358-2280

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

5000 Hennessy Blvd
Ste B
Baton Rouge, LA 70808

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

2705 Highway 28 E
Pineville, LA 71360
Phone (318) 704-6770

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

5000 Odonavan Blvd
Walker, LA 70785
Phone (225) 214-4200

Organizations & group practices 12

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.

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569628800000",
    "number": "1982607420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62600 DEPT 1744",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701620001",
            "telephone_number": "225-368-2300",
            "fax_number": "225-368-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9118 BLUEBONNET CENTRE BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092993",
            "telephone_number": "225-368-2300",
            "fax_number": "225-368-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "ELIDIA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2019-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1158691",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.