ISLAND SIDE HEALTH LLC
NPI 1306655311
Clinic/Center - Primary Care in Lafayette, LA
About Island Side Health Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND SIDE HEALTH LLC (NPI 1306655311) is a healthcare organization registered as a primary care in Lafayette, Louisiana and active in the NPI registry since January 2025. The organization lists Lisa Pena Miller, Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Island Side Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Side Health LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Island Side Health LLC's NPI number?
The NPI number for Island Side Health LLC is 1306655311. It was assigned to this organization in the NPPES registry on January 3, 2025.
Where is Island Side Health LLC located?
Island Side Health LLC is located at 414 Woodvale Ave, Lafayette, LA 70503. The listed phone number is (337) 326-0202.
What is Island Side Health LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Island Side Health LLC enrolled in Medicare?
Yes. Island Side Health LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Side Health LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Island Side Health LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Island Side Health LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Island Side Health LLC 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.
When was this NPI record last updated?
The NPPES record for Island Side Health LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Island Side Health Llc · NPI 1306655311
Primary Care organization in Lafayette, Louisiana. Organization record, active in the CMS NPPES registry since January 3, 2025.
## Identity
- **NPI:** 1306655311 (Entity type: Organization)
- **Enumerated:** January 3, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Lisa Miller, NURSE PRACTITIONER
## Practice location
- **Address:** 414 WOODVALE AVE, Lafayette, LA 70503-3434
- **Phone:** (337) 326-0202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 3, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306655311) · Data from the CMS NPPES public registry.