Individual provider Active NPI

Simmie Soileau, NP

  • Family Nurse Practitioner
  • New Iberia, LA
National Provider Identifier
1992812374
Registry record updated Sep 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04527 Issued in LA
Practice address
609 Rue de Brille
New Iberia, LA 70563-2123
Phone
(337) 560-1144
Fax
(337) 560-1102
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2007

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 AP04527 LA Primary

Addresses

Primary practice location

609 Rue de Brille
New Iberia, LA 70563-2123

Mailing address

609 Rue de Brille
New Iberia, LA 70563-2123
Phone (337) 560-1144

Other identifiers 1

IdentifierTypeStateIssuer
1502596MedicaidLA

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
I20050421000010 LA Practitioner - Nurse Practitioner 0446298327 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southside Family Clinic LLCGroup PAC ID 3779859392, 5 clinicians

Practice addresses (Care Compare)

304 N Hospital Dr
Suite a
Abbeville, LA 70510-4041
Phone (337) 385-1972

Hospital & facility affiliations

  • Abbeville General Hospital Hospital, Abbeville, LA, CCN 190034

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
75.42
Promoting interoperability
100
Improvement activities
40
Cost
76.1

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southside Family Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
Abbeville General Hospital CurrentSince Oct 15, 2012 Accepting new patients
Southside Family Clinic LLC CurrentSince Nov 1, 2024 Accepting new patients
Abbeville General Hospital CurrentSince Oct 15, 2012 Accepting new patients

Locations

118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466

2421 Alonzo St
Abbeville, LA 70510
Phone (337) 892-6919

2419 Alonzo St
Abbeville, LA 70510
Phone (337) 892-0630

304 N Hospital Dr
#A
Abbeville, LA 70510
Phone (337) 385-1972

506 W Highway 14
Delcambre, LA 70528
Phone (337) 385-1972

207 Milton Rd
Maurice, LA 70555
Phone (337) 898-9449

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

Interoperability endpoints

  • Direct secure messaging: simmie.soileau.1@29894.direct.athenahealth.com

Organizations & group practices 4

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 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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189468800000",
    "number": "1992812374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 RUE DE BRILLE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632123",
            "telephone_number": "337-560-1144",
            "fax_number": "337-560-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 RUE DE BRILLE",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705632123",
            "telephone_number": "337-560-1144",
            "fax_number": "337-560-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOILEAU",
        "first_name": "SIMMIE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1502596",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Iberia, LA

Sources for this page

Verify at the official NPI Registry.