| Kelli Robertson, APRN, FNP-C | |
|
79630 Highway La 21, Bush, LA 70431 | |
| (985) 730-2252 | |
| (985) 730-2258 |
| Full Name | Kelli Robertson |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 13 Years |
| Location | 79630 Highway La 21, Bush, 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 |
|---|---|---|---|
| 1376972570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP07386 (Louisiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Pulse Home Health Care | Covington, LA | Home health agency |
| Our Lady Of The Angels Hospital | Bogalusa, LA | Hospital |
| St Tammany Parish Hospital | Covington, LA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Our Lady Of The Angels Hospital Inc | 7012144322 | 74 |
| Entity Name | C & M Medical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710903059 PECOS PAC ID: 9436061553 Enrollment ID: O20050121000093 |
| Entity Name | Our Lady Of The Angels Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
| Entity Name | Washington Parish Emergency Physicians Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538511043 PECOS PAC ID: 4284928094 Enrollment ID: O20160802001165 |
| Entity Name | Riverside Emergency Physician Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083107080 PECOS PAC ID: 0042568917 Enrollment ID: O20180809000406 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Robertson, APRN, FNP-C 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 Ph: (225) 526-0010 | Kelli Robertson, APRN, FNP-C 79630 Highway La 21, Bush, LA 70431 Ph: (985) 730-2252 |
Jodi Toepfer Powell, A.P.R.N. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 79630 Highway La 21, Bush, LA 70431 Phone: 985-730-2252 Fax: 985-730-2258 |