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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
Phone(904) 545-0747
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
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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 NPPES & CMS

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

What is Anslie Prudhomme's NPI number?

The NPI number for Anslie Prudhomme is 1285126391. It was assigned to this individual provider in the NPPES registry on June 4, 2018.

Where is Anslie Prudhomme located?

Anslie Prudhomme practices at 4364 Burnleigh Chase NE, Roswell, GA 30075. The listed phone number is (904) 545-0747.

What is Anslie Prudhomme's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Anslie Prudhomme enrolled in Medicare?

Yes. Anslie Prudhomme 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.

When was this NPI record last updated?

The NPPES record for Anslie Prudhomme was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.