Icp Louisiana ACO Billing LLC
NPI 1043894231ActiveOrganization· Nurse Practitioner· Shreveport, LA
Nurse Practitioner in Shreveport, Louisiana, registered in NPPES in May 2021. The authorized official on file is Margaret S. Pemberton, Vice President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1043894231 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 12, 2021 |
| Last updated in NPPES | Nov 11, 2025 |
| Certified by provider | Nov 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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