ANSLIE PRUDHOMME
NPI 1285126391
Nurse Practitioner - Family in Roswell, GA

Active since June 04, 2018PECOS EnrolledAccepts Medicare Assignment
4364 BURNLEIGH CHASE NE, ROSWELL, GA 30075(904) 545-0747 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anslie Prudhomme NPPES

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

ANSLIE PRUDHOMME (NPI 1285126391) is an individual family provider in Roswell, Georgia, licensed in Georgia (RN273932) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1285126391
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANSLIE PRUDHOMME
Location Address4364 BURNLEIGH CHASE NERoswell, GA 30075-1956
Mailing Address4364 Burnleigh Chase NeRoswell, GA 30075-1956
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 4, 2018
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
NPI 1285126391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN273932
4364 BURNLEIGH CHASE NE, Roswell, GA 30075

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Anslie Prudhomme 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.

PECOS PAC ID9234574641
PECOS Enrollment IDI20240226001094
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30075 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285126391, enumerated as an "individual" on June 04, 2018.

The provider is located at 4364 BURNLEIGH CHASE NE ROSWELL, GA 30075 and the phone number is (904) 545-0747.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.