PHILLIP M PRIDDY CRNA
NPI 1124108758
Nurse Anesthetist, Certified Registered in Shreveport, LA
About Phillip M Priddy Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP M PRIDDY CRNA (NPI 1124108758) is an individual nurse anesthetist, certified registered in Shreveport, Louisiana, licensed in Louisiana (RN054704) and active in the NPI registry since October 2006. He is affiliated with Ochsner Lsu Health Shreveport and is a graduate of Other (1993).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Phillip M Priddy Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
4Medicare enrollment records show Phillip Priddy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 1,167 clinicians in this Medicare group
Shreveport, LA 71103
- Reassigned Medicare billing, Louisiana enrollment
- 174 clinicians in this Medicare group
Shreveport, LA 71106
- Reassigned Medicare billing, Louisiana enrollment
- 25 clinicians in this Medicare group
Lake Charles, LA 70605
- Reassigned Medicare billing, Louisiana enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ochsner Lsu Health Shreveport
Acute Care Hospitals · Shreveport, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Phillip Priddy's NPI number?
The NPI number for Phillip Priddy is 1124108758. It was assigned to this individual provider in the NPPES registry on October 17, 2006.
Where is Phillip Priddy located?
Phillip Priddy practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 675-5584.
What is Phillip Priddy's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Phillip Priddy enrolled in Medicare?
Yes. Phillip Priddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Phillip Priddy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Priddy reassigns Medicare benefits to 4 organizations: Lsu Health Sciences Center Shreveport Faculty Group Practice (Shreveport, LA), University Health Shreveport LLC (Shreveport, LA), Tandem Anesthesia LLC (Shreveport, LA) and Osc Anesthesia, LLC (Lake Charles, LA). Each 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 Phillip Priddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Phillip Priddy accept?
Health plans from HMO Louisiana list Phillip Priddy 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.
Is Phillip Priddy affiliated with any hospitals?
According to CMS data, Phillip Priddy is affiliated with Ochsner Lsu Health Shreveport.
When was this NPI record last updated?
The NPPES record for Phillip Priddy was last updated on April 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Phillip M Priddy, CRNA · NPI 1124108758
Nurse Anesthetist, Certified Registered physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1124108758 (Entity type: Individual)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN054704 (Louisiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 675-5584
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Lsu Health Sciences Center Shreveport Faculty Group Practice (NPI 1013374222, Shreveport, LA); University Health Shreveport LLC (NPI 1619443611, Shreveport, LA); Tandem Anesthesia LLC (NPI 1356453583, Shreveport, LA); Osc Anesthesia, LLC (NPI 1063862340, Lake Charles, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1993
## Record status
- **NPPES last updated:** April 23, 2015
- **Other identifiers:** Medicare ID-Type Unspecified 5X991 (LA)
---
Source: [NPI Profile](https://npiprofile.com/npi/1124108758) · Data from the CMS NPPES public registry.