STEPHENY SUMRALL N.P.
NPI 1386046704
Nurse Practitioner - Acute Care in Lafayette, LA

Active since September 17, 2014PECOS EnrolledAccepts Medicare Assignment
73.11/100
CMS Quality Rating
4811 AMBASSADOR CAFFERY PKWY STE 401A, LAFAYETTE, LA 70508(337) 456-6523(337) 456-6521 Get Directions Write a Review

NPPES record last updated: August 2, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stepheny Sumrall N.p. NPPES

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

STEPHENY SUMRALL N.P. (NPI 1386046704) is an individual acute care provider in Lafayette, Louisiana, licensed in Louisiana (AP09288) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of University Of South Alabama College Of Medicine (2014).

NPPES Registry Identity

NPI1386046704
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSTEPHENY SUMRALLCredential: N.P.
Location Address4811 AMBASSADOR CAFFERY PKWY STE 401ALafayette, LA 70508-7265
Mailing Address4811 Ambassador Caffery Pkwy, Suite 401aLafayette, LA 70508-7265 · (337) 456-6523 · Fax (601) 261-5716
Fax(337) 456-6521
Sole ProprietorNo
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 2014
Enumeration DateSeptember 17, 2014
Last NPPES UpdateAugust 2, 2017
NPI 1386046704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in LA · AP09288
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License AP09288 (LA)
4811 AMBASSADOR CAFFERY PKWY STE 401A, Lafayette, LA 70508

Accepted Insurance

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

Stepheny Sumrall N.p. 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 ID4688996028
PECOS Enrollment IDI20141215000203, I20171003004274
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.

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.

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.
50 services38 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services37 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
39 services23 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.
31 services27 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
23 services22 patients
Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298
This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.
20 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Avoyelles Hospital

Acute Care Hospitals · Marksville, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190099
Location4231 Highway 1192Marksville, LA 71351 · Avoyelles County
Emergency services

Oakdale Community Hospital

Acute Care Hospitals · Oakdale, LA
OwnershipProprietary
CMS Certification Number190106
Location130 N Hospital DrOakdale, LA 71463 · Allen County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.96
Promoting Interoperability90
Improvement Activities40
Cost22.09

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
35%284 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Pulmonary Disease)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Nurse Practitioner (Gerontology)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Nurse Practitioner (Acute Care)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Internal Medicine (Pulmonary Disease)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Nurse Practitioner (Family)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Nurse Practitioner (Acute Care)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Nurse Practitioner (Family)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508
Internal Medicine (Pulmonary Disease)
4811 AMBASSADOR CAFFERY PKWY STE 401A
LAFAYETTE, LA 70508

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 Stepheny Sumrall's NPI number?

The NPI number for Stepheny Sumrall is 1386046704. It was assigned to this individual provider in the NPPES registry on September 17, 2014.

Where is Stepheny Sumrall located?

Stepheny Sumrall practices at 4811 Ambassador Caffery Pkwy Ste 401A, Lafayette, LA 70508. The listed phone number is (337) 456-6523.

What is Stepheny Sumrall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Stepheny Sumrall enrolled in Medicare?

Yes. Stepheny Sumrall 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.

What insurance does Stepheny Sumrall accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Stepheny Sumrall 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 Stepheny Sumrall affiliated with any hospitals?

According to CMS data, Stepheny Sumrall is affiliated with Christus St Frances Cabrini Hospital, Avoyelles Hospital and Oakdale Community Hospital.

When was this NPI record last updated?

The NPPES record for Stepheny Sumrall was last updated on August 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.