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MRS. LA VERGNE ANDRE DPM
NPI 1447423397
Podiatrist in Bowie, MD

Active since April 10, 2008Opted out of Medicare · through Apr 1, 2028
14202 LAKE RUN CT, BOWIE, MD 20720(301) 323-5652(410) 740-2412 Get Directions Write a Review

NPPES record last updated: September 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. La Vergne Andre Dpm NPPES

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

MRS. LA VERGNE ANDRE DPM (NPI 1447423397) is an individual podiatrist in Bowie, Maryland, licensed in Maryland (1101) and active in the NPI registry since April 2008. She has opted out of Medicare through April 1, 2028.

NPPES Registry Identity

NPI1447423397
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameMRS. LA VERGNE ANDRECredential: DPM
Location Address14202 LAKE RUN CTBowie, MD 20720-4861
Mailing Address14202 Lake Run CtBowie, MD 20720-4861 · (301) 323-5652 · Fax (410) 740-2412
Phone(301) 323-5652
Fax(410) 740-2412
Sole ProprietorYes
Enumeration DateApril 10, 2008
Last NPPES UpdateSeptember 6, 2011
✔ NPI 1447423397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
License✔ Licensed in MD · 1101
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
14202 LAKE RUN CT, Bowie, MD 20720
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Other Identifiers 3

Medicare NSC4804740002MD
Medicare PINT315MD
Medicare PIN168752DC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. La Vergne Andre Dpm has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022
Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 La Vergne Andre's NPI number?

The NPI number for La Vergne Andre is 1447423397. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is La Vergne Andre located?

La Vergne Andre practices at 14202 Lake Run Ct, Bowie, MD 20720. The listed phone number is (301) 323-5652.

What is La Vergne Andre's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is La Vergne Andre enrolled in Medicare?

No. La Vergne Andre has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for La Vergne Andre was last updated on September 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.