BRIANNA ODOM NP
NPI 1750215463
Nurse Practitioner - Family in Bossier City, LA

Active since June 09, 2026PECOS Enrolled
505 CHOCTAW CT, BOSSIER CITY, LA 71111(318) 268-5023 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Brianna Odom Np NPPES

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

BRIANNA ODOM NP (NPI 1750215463) is an individual family provider in Bossier City, Louisiana, licensed in Louisiana (215100) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1750215463
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRIANNA ODOMCredential: NP
Location Address505 CHOCTAW CTBossier City, LA 71111-6142
Mailing Address505 Choctaw CtBossier City, LA 71111-6142
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 9, 2026
NPPES CertifiedJune 2, 2026
✔ NPI 1750215463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · 215100
505 CHOCTAW CT, Bossier City, LA 71111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brianna Odom Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234695701
PECOS Enrollment IDI20260727000973
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 Brianna Odom reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1514 DOCTORS DR
Bossier City, LA 71111
  • Reassigned Medicare billing, Louisiana enrollment
  • 70 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Louisiana enrollment
  • 439 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71111 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.

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 Brianna Odom's NPI number?

The NPI number for Brianna Odom is 1750215463. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Brianna Odom located?

Brianna Odom practices at 505 Choctaw Ct, Bossier City, LA 71111. The listed phone number is (318) 268-5023.

What is Brianna Odom's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brianna Odom enrolled in Medicare?

Yes. Brianna Odom is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Brianna Odom's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brianna Odom reassigns Medicare benefits to 2 organizations: David Raines Community Health Center, Inc (Bossier City, LA) and Signify Health, LLC (Dallas, TX). 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 Brianna Odom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brianna Odom accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan list Brianna Odom 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 Brianna Odom was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.