DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD
NPI 1043359839
Clinic/Center - Rural Health in Mansfield, LA

Active since February 06, 2007
130 JEFFERSON ST, MANSFIELD, LA 71052(318) 872-2700(318) 872-6214 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 27, 2023, Jul 21, 2022, May 4, 2020 and 1 more (4 updates tracked since 2018).

About Desoto Regional Family Medicine - Mansfield NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESOTO REGIONAL FAMILY MEDICINE - MANSFIELD (NPI 1043359839) is a healthcare organization registered as a rural health in Mansfield, Louisiana and active in the NPI registry since February 2007. The organization lists Hallie Deutsch, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043359839
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDESOTO REGIONAL FAMILY MEDICINE
Location Address130 JEFFERSON STMansfield, LA 71052-2602
Mailing Address130 Jefferson StMansfield, LA 71052-2602 · (318) 872-2700 · Fax (318) 872-6214
Fax(318) 872-6214
Organization SubpartNo
Authorized OfficialHallie DeutschCredentialing Specialist · (318) 871-3101
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 27, 20234 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
✔ NPI 1043359839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedClinic/CenterTaxonomy 261Q00000X
130 JEFFERSON ST, Mansfield, LA 71052

Other Names 1

Doing Business AsDesoto Regional Family Medicine - Mansfield

Other Identifiers 2

OtherCN5547LA · Rr Medicare
Medicaid1948357LA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Desoto Regional Family Medicine - Mansfield is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

19

Medicare enrollment records show 19 clinicians reassign Medicare billing to Desoto Regional Family Medicine - Mansfield, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 10

Nurse Practitioner8
Clinical Social Worker2
Emergency Medicine2
Advanced Heart Failure and Transplant Cardiology1
Cardiovascular Disease (Cardiology)1
General Practice1
Internal Medicine1
Pediatric Medicine1
2 other specialties2

Clinicians, nearest first (19)

Clinical Social Worker
NPI 1710250204
130 JEFFERSON ST
Mansfield, LA 71052
(318) 872-2700
✔ PECOSSame address
Nurse Practitioner
NPI 1982717716
130 JEFFERSON STREET
Mansfield, LA 71052
(318) 872-2700
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1932188422
130 JEFFERSON STREET
Mansfield, LA 71052
(318) 872-2700
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1851370332
130 JEFFERSON STREET
Mansfield, LA 71052
(318) 872-2700
✔ PECOS✔ Accepts MedicareSame address
Physician Assistant
NPI 1669659363
130 JEFFERSON ST
Mansfield, LA 71052
(318) 872-2700
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1710243340
130 JEFFERSON ST
Mansfield, LA 71052
(318) 872-2700
✔ PECOSSame address
Nurse Practitioner
NPI 1205434768
130 JEFFERSON ST
Mansfield, LA 71052
(318) 872-2700
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881943637
130 JEFFERSON ST
Mansfield, LA 71052
(318) 872-2700
✔ PECOS✔ Accepts MedicareSame address
General Practice
NPI 1376577304
119 JEFFERSON ST
Mansfield, LA 71052
(318) 872-5810
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Social Worker
NPI 1194325407
510 REA ST
Mansfield, LA 71052
(318) 393-5116
✔ PECOS0.9 mi
Emergency Medicine
NPI 1750340592
1015 OBRIE ST
Zwolle, LA 71486
(318) 645-6161
✔ PECOS27 mi
Nurse Practitioner
NPI 1861841884
2026 OBRIE ST
Zwolle, LA 71486
(318) 645-6013
✔ PECOS28 mi
Nurse Practitioner
NPI 1760738801
7505 PINES RD STE 1100
Shreveport, LA 71129
(318) 425-9965
✔ PECOS✔ Accepts Medicare29 mi
Podiatry
NPI 1316171358
592 UNADILLA ST
Shreveport, LA 71106
(318) 519-7555
✔ PECOS✔ Accepts Medicare30 mi
Advanced Heart Failure and Transplant Cardiology
NPI 1518693035
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts Medicare31 mi
Cardiovascular Disease (Cardiology)
NPI 1992238695
1541 KINGS HWY
Shreveport, LA 71103
(318) 626-0000
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1942660287
2000 CRESWELL AVE
Shreveport, LA 71104
(318) 553-0560
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1003808569
1500 LINE AVENUE STE 200
Shreveport, LA 71101
(318) 629-5555
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1831955103
105 REGENCY PL
West Monroe, LA 71291
(318) 398-0945
✔ PECOS97 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 19D0463227

Desoto Regional Family Medicine · Mansfield, LA
Expired · Oct 26, 2026
CLIA Number19D0463227
Laboratory TypeRural Health Clinic
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorJill Ferguson
Laboratory Phone(318) 270-3154
Laboratory LocationDesoto Regional Family Medicine130 Jefferson Street, Mansfield, LA 71052
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desoto Regional Family Medicine's NPI number?

The NPI number for Desoto Regional Family Medicine is 1043359839. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Desoto Regional Family Medicine - Mansfield.

Where is Desoto Regional Family Medicine located?

Desoto Regional Family Medicine is located at 130 Jefferson St, Mansfield, LA 71052. The listed phone number is (318) 872-2700.

What is Desoto Regional Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Desoto Regional Family Medicine enrolled in Medicare?

Yes. Desoto Regional Family Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Desoto Regional Family Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 19 clinicians in 10 Medicare specialties reassign their Medicare billing to Desoto Regional Family Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Clinical Social Worker (2) and Emergency Medicine (2). Of these, 8 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Desoto Regional Family Medicine accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Desoto Regional Family Medicine as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Desoto Regional Family Medicine was last updated on March 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.