| Amy Shepherd Pruden, APRN | |
|
2647 S Saint Elizabeth Blvd Ste 308, Gonzales, LA 70737-5020 | |
| (225) 765-5500 | |
| (225) 765-9419 |
| Full Name | Amy Shepherd Pruden |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 2647 S Saint Elizabeth Blvd Ste 308, Gonzales, Louisiana |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164771473 | NPI | - | NPPES |
| 2350625 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP07035 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Francis Medical Center Home Health | Monroe, LA | Home health agency |
| St Francis Medical Center | Monroe, LA | Hospital |
| Monroe Surgical Hospital | Monroe, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Francis Medical Group Llc | 5092970624 | 148 |
| Entity Name | Affinity Health Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023291226 PECOS PAC ID: 9335226547 Enrollment ID: O20080411000088 |
| Entity Name | Our Lady Of The Lake Physician Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033494943 PECOS PAC ID: 4587849781 Enrollment ID: O20120529000377 |
| Entity Name | St Francis Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134405087 PECOS PAC ID: 5092970624 Enrollment ID: O20120706000094 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Shepherd Pruden, APRN 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 765-5500 | Amy Shepherd Pruden, APRN 2647 S Saint Elizabeth Blvd Ste 308, Gonzales, LA 70737-5020 Ph: (225) 765-5500 |
Carol B Craig, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1104 W Highway 30, Gonzales, LA 70737 Phone: 225-644-2100 Fax: 225-644-5213 | |
Jennifer Jennings Gibson, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 Fax: 888-837-2317 | |
Megan Louque Stamps, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1201 S Purpera Ave Ste 601, Gonzales, LA 70737 Phone: 504-465-4550 Fax: 833-222-4520 | |
Thu Anh Nguyen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 42568 Cedar Park Ave, Gonzales, LA 70737 Phone: 504-520-0373 | |
Angelle Williams, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2524 S Philippe Ave, Gonzales, LA 70737 Phone: 225-644-1990 Fax: 225-644-3264 | |
Jacquia Wells, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 711 E Ascension St Unit 360, Gonzales, LA 70737 Phone: 225-954-8732 | |
Maretta Daniel, MSN ,APN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14601 Airline Hwy Ste 103, Gonzales, LA 70737 Phone: 225-236-5970 |