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SHERLETHA MONIQUE NELSON FNP-C
NPI 1346672748
Family Medicine in Plaquemine, LA

Active since August 07, 2013PECOS EnrolledAccepts Medicare Assignment
23845 CHURCH ST, PLAQUEMINE, LA 70764(225) 687-2828(225) 687-2885 Get Directions Write a Review

NPPES record last updated: May 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 30, 2023, Jun 22, 2016 (2 updates tracked since 2016).

About Sherletha Monique Nelson Fnp-c NPPES

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

SHERLETHA MONIQUE NELSON FNP-C (NPI 1346672748) is an individual family medicine provider in Plaquemine, Louisiana, licensed in Louisiana (AP07234) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS, is affiliated with Womans Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1346672748
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHERLETHA MONIQUE NELSONCredential: FNP-C
Location Address23845 CHURCH STPlaquemine, LA 70764-3307
Mailing Address5741 Djuanna DrBaton Rouge, LA 70811-4102
Phone(225) 687-2828
Fax(225) 687-2885
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 7, 2013
Last NPPES UpdateMay 30, 20232 updates tracked since enumeration
NPPES CertifiedMay 30, 2023
✔ NPI 1346672748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · AP07234
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP07234 (LA)
23845 CHURCH ST, Plaquemine, LA 70764
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Other Identifiers 1

Medicaid2370804LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Sherletha Monique Nelson Fnp-c 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 ID6103046206
PECOS Enrollment IDI20141010002310
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Sherletha Nelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anointed Family Medicine, LLC
Same address
Family Medicine
23845 CHURCH ST
Plaquemine, LA 70764
  • Reassigned Medicare billing, Louisiana enrollment
  • 2 clinicians in this Medicare group
NPI 1629252069 (225) 687-2828
Kayenta Alternative Rural Hospital
1,164 mi
General Acute Care Hospital
US HIGHWAY 160 BLDING 2000
Dennehotso, AZ 86535
  • Reassigned Medicare billing, Texas enrollment
  • 215 clinicians in this Medicare group
NPI 1821167297 (928) 697-4000

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 7

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
104 services45 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
71 services34 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
43 services15 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190128
Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County
Emergency services Birthing friendly

Ochsner Medical Center - Baton Rouge

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190202
Location17000 Medical Center DrBaton Rouge, LA 70816 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70764 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANOINTED FAMILY MEDICINE, LLC
Family Medicine
23845 CHURCH ST
PLAQUEMINE, LA 70764
Iberville Parish (225) 687-2828

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 Sherletha Nelson's NPI number?

The NPI number for Sherletha Nelson is 1346672748. It was assigned to this individual provider in the NPPES registry on August 7, 2013.

Where is Sherletha Nelson located?

Sherletha Nelson practices at 23845 Church St, Plaquemine, LA 70764. The listed phone number is (225) 687-2828.

What is Sherletha Nelson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sherletha Nelson enrolled in Medicare?

Yes. Sherletha Nelson 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 Sherletha Nelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sherletha Nelson reassigns Medicare benefits to 2 organizations: Anointed Family Medicine, LLC (Plaquemine, LA) and Kayenta Alternative Rural Hospital (Dennehotso, AZ). 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 Sherletha Nelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sherletha Nelson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Sherletha Nelson 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 Sherletha Nelson affiliated with any hospitals?

According to CMS data, Sherletha Nelson is affiliated with Womans Hospital and Ochsner Medical Center - Baton Rouge.

When was this NPI record last updated?

The NPPES record for Sherletha Nelson was last updated on May 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.