JAMES CHARLES RUMFOLA NP
NPI 1790284974
Nurse Practitioner - Family in Baton Rouge, LA

Q: What is James Rumfola's NPI number?

The NPI number for James Rumfola is 1790284974. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Q: What is James Rumfola's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Rumfola was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 02, 2018PECOS Enrolled

16 INFIRMARY ROAD, BATON ROUGE, LA 70803(225) 578-6716(225) 578-0596 Get Directions Write a Review

NPPES record last updated: March 18, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About James Charles Rumfola Np NPPES

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

JAMES CHARLES RUMFOLA NP (NPI 1790284974) is an individual family provider in Baton Rouge, Louisiana, licensed in Louisiana (AP09776) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1790284974

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAMES CHARLES RUMFOLACredential: NP

Location Address16 INFIRMARY ROADBaton Rouge, LA 70803-4375

Mailing AddressPo Box 80093Baton Rouge, LA 70898-0093

Phone(225) 578-6716

Fax(225) 578-0596

Sole ProprietorYes

Enumeration DateFebruary 2, 2018

Last NPPES UpdateMarch 18, 2025

NPPES CertifiedMarch 18, 2025

✔ NPI 1790284974 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 · AP09776

16 INFIRMARY ROAD, Baton Rouge, LA 70803

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Secondary Practice Location 1

Location 15000 Hennessy BlvdBaton Rouge, LA 70808-4375 · Phone (225) 765-7163

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana 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 (PECOS)

James Charles Rumfola Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show James Rumfola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Our Lady Of The Lake Physician Group LLC

2.9 mi

Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

1805 COLLEGE DR
Baton Rouge, LA 70808

Reassigned Medicare billing, Louisiana enrollment
873 clinicians in this Medicare group

NPI 1235912502 (225) 923-3420

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 70803 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.

SARA H CHAMBERLAIN NP

Nurse Practitioner (Adult Health)

16 INFIRMARY ROAD
BATON ROUGE, LA 70803

East Baton Rouge Parish (225) 578-6716

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 James Rumfola's NPI number?

The NPI number for James Rumfola is 1790284974. It was assigned to this individual provider in the NPPES registry on February 2, 2018.

Where is James Rumfola located?

James Rumfola practices at 16 Infirmary Road, Baton Rouge, LA 70803. The listed phone number is (225) 578-6716.

What is James Rumfola's specialty?

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

Is James Rumfola enrolled in Medicare?

Yes. James Rumfola is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for James Rumfola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Rumfola reassigns Medicare benefits to Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA). The 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 James Rumfola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Rumfola accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list James Rumfola 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 James Rumfola was last updated on March 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.