DANA SUMBLER NURSE PRACTITIONER
NPI 1114472875
Nurse Practitioner in Shreveport, LA

Q: What is Dana Sumbler's NPI number?

The NPI number for Dana Sumbler is 1114472875. It was assigned to this individual provider in the NPPES registry on August 23, 2016.

Q: What is Dana Sumbler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Dana Sumbler was last updated on April 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 23, 2016PECOS Enrolled

1625 DAVID RAINES RD, SHREVEPORT, LA 71107(318) 425-2252 Get Directions Write a Review

NPPES record last updated: April 13, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 13, 2017, Aug 23, 2016 (2 updates tracked since 2016).

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About Dana Sumbler Nurse Practitioner NPPES

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

DANA SUMBLER NURSE PRACTITIONER (NPI 1114472875) is an individual nurse practitioner in Shreveport, Louisiana, licensed in Louisiana (AP09007) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114472875

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameDANA SUMBLERCredential: NURSE PRACTITIONER

Location Address1625 DAVID RAINES RDShreveport, LA 71107-2712

Mailing Address3041 Dr. Martin Luther King DrShreveport, LA 71107-5899 · (318) 227-3350 · Fax (318) 222-2979

Phone(318) 425-2252

Sole ProprietorNo

Enumeration DateAugust 23, 2016

Last NPPES UpdateApril 13, 20172 updates tracked since enumeration

✔ NPI 1114472875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in LA · AP09007

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1625 DAVID RAINES RD, Shreveport, LA 71107

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Sumbler Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Dana Sumbler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

David Raines Community Health Center, Inc

0.2 mi

Federally Qualified Health Center (FQHC)

1625 DAVID RAINES RD
Shreveport, LA 71107

Reassigned Medicare billing, Louisiana enrollment
70 clinicians in this Medicare group

NPI 1205721487 (318) 425-2252

Monogram Health Professional Services PC

468 mi

Nephrology

5410 MARYLAND WAY STE 400
Brentwood, TN 37027

Reassigned Medicare billing, Louisiana enrollment
97 clinicians in this Medicare group

NPI 1659987436 (615) 673-4455

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.60 typical visit price

range $53.43 – $164.73

Typical copayment $20.90 (range $13.35 – $41.18)

Most-billed visit code 99203

Established Patient

$95.09 typical visit price

range $16.64 – $133.62

Typical copayment $23.77 (range $4.16 – $33.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAVID RAINES COMMUNITY HEALTH CENTER INC

Clinic/Center (Federally Qualified Health Center (FQHC))