NIGHTWATER CLINIC, LLC
NPI 1407369820
Clinic/Center - Primary Care in New Orleans, LA
About Nightwater Clinic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIGHTWATER CLINIC, LLC (NPI 1407369820) is a healthcare organization registered as a primary care in New Orleans, Louisiana and active in the NPI registry since November 2017. The organization maintains a secondary practice location in New Orleans and lists Paul Ikemire, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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)
Nightwater Clinic, 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 Nightwater Clinic, 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 Nightwater Clinic, LLC's NPI number?
The NPI number for Nightwater Clinic, LLC is 1407369820. It was assigned to this organization in the NPPES registry on November 7, 2017.
Where is Nightwater Clinic, LLC located?
Nightwater Clinic, LLC is located at 719 Okeefe Ave, New Orleans, LA 70113. The listed phone number is (504) 381-4204.
What is Nightwater Clinic, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Nightwater Clinic, LLC enrolled in Medicare?
Yes. Nightwater Clinic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nightwater Clinic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nightwater Clinic, 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 Nightwater Clinic, LLC accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Nightwater Clinic, 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 Nightwater Clinic, LLC was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Nightwater Clinic, Llc · NPI 1407369820
Primary Care organization in New Orleans, Louisiana. Organization record, active in the CMS NPPES registry since November 7, 2017.
## Identity
- **NPI:** 1407369820 (Entity type: Organization)
- **Enumerated:** November 7, 2017
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** Yes (part of Nightwater Health, Inc)
- **Authorized official:** Paul Ikemire, MEMBER
## Practice location
- **Address:** 719 OKEEFE AVE, New Orleans, LA 70113-1906
- **Phone:** (504) 381-4204
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 29, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1407369820) · Data from the CMS NPPES public registry.