THERESA BOURG VICKNAIR CRNA
NPI 1134100746
Nurse Anesthetist, Certified Registered in Lutcher, LA
About Theresa Bourg Vicknair Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THERESA BOURG VICKNAIR CRNA (NPI 1134100746) is an individual nurse anesthetist, certified registered in Lutcher, Louisiana, licensed in Louisiana (AP01519) and active in the NPI registry since November 2005. She is affiliated with St James Parish Hospital and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses 2
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
Theresa Bourg Vicknair 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
2Medicare enrollment records show Theresa Vicknair reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Place, LA 70068
- Reassigned Medicare billing, Louisiana enrollment
- 482 clinicians in this Medicare group
New Orleans, LA 70118
- Reassigned Medicare billing, Louisiana enrollment
- 519 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 2
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.
St James Parish Hospital
Critical Access Hospitals · Lutcher, LAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70071 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Theresa Vicknair's NPI number?
The NPI number for Theresa Vicknair is 1134100746. It was assigned to this individual provider in the NPPES registry on November 10, 2005.
Where is Theresa Vicknair located?
Theresa Vicknair practices at St James Parish Hosipital Louisiane Ave, Lutcher, LA 70071. The listed phone number is (225) 869-5512.
What is Theresa Vicknair's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Theresa Vicknair enrolled in Medicare?
Yes. Theresa Vicknair 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 Theresa Vicknair's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Vicknair reassigns Medicare benefits to 2 organizations: Zephyr Anesthesia, LLC (La Place, LA) and Childrens Hospital Anesthesia Corporation (New Orleans, 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 Theresa Vicknair's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theresa Vicknair accept?
Health plans from HMO Louisiana list Theresa Vicknair 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 Theresa Vicknair affiliated with any hospitals?
According to CMS data, Theresa Vicknair is affiliated with St James Parish Hospital.
When was this NPI record last updated?
The NPPES record for Theresa Vicknair was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Theresa Bourg Vicknair, CRNA · NPI 1134100746
Nurse Anesthetist, Certified Registered physician in Lutcher, Louisiana. Individual provider, active in the CMS NPPES registry since November 10, 2005.
## Identity
- **NPI:** 1134100746 (Entity type: Individual)
- **Enumerated:** November 10, 2005
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** AP01519 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** ST JAMES PARISH HOSIPITAL, LOUISIANE AVE, Lutcher, LA 70071
- **Phone:** (225) 869-5512
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Zephyr Anesthesia, LLC (NPI 1891087458, La Place, LA); Childrens Hospital Anesthesia Corporation (NPI 1649362740, New Orleans, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1134100746) · Data from the CMS NPPES public registry.