LUDGY RENAUD SUPPLICE FNP
NPI 1841772506
Nurse Practitioner - Psychiatric/Mental Health in Miami, FL

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
11261 SW 164TH TER, MIAMI, FL 33157(786) 543-3081 Get Directions Write a Review

NPPES record last updated: December 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 14, 2023, Dec 10, 2023, Aug 29, 2018 (3 updates tracked since 2018).

About Ludgy Renaud Supplice Fnp NPPES

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

LUDGY RENAUD SUPPLICE FNP (NPI 1841772506) is an individual psychiatric/mental health provider in Miami, Florida, licensed in Florida (9265816) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1841772506
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLUDGY RENAUD SUPPLICECredential: FNP
Location Address11261 SW 164TH TERMiami, FL 33157-2717
Mailing Address11261 Sw 164th TerMiami, FL 33157-2717 · (786) 543-3081
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 29, 2018
Last NPPES UpdateDecember 14, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1841772506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · 9265816
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 9265816 (FL)
11261 SW 164TH TER, Miami, FL 33157

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ludgy Renaud Supplice Fnp 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 ID1153836507
PECOS Enrollment IDI20250715000409
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

3

Medicare enrollment records show Ludgy Supplice reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric/Mental Health
11261 SW 164TH TER
Miami, FL 33157
  • Reassigned Medicare billing, Florida enrollment
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Florida enrollment
  • 72 clinicians in this Medicare group
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, Florida enrollment
  • 238 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 33157 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Nurse Practitioner (Psychiatric/Mental Health)
11261 SW 164TH TER
MIAMI, FL 33157

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 Ludgy Supplice's NPI number?

The NPI number for Ludgy Supplice is 1841772506. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Ludgy Supplice located?

Ludgy Supplice practices at 11261 SW 164th Ter, Miami, FL 33157. The listed phone number is (786) 543-3081.

What is Ludgy Supplice's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Ludgy Supplice enrolled in Medicare?

Yes. Ludgy Supplice 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.

Which organizations bill Medicare for Ludgy Supplice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ludgy Supplice reassigns Medicare benefits to 3 organizations: Palmetto Comprehensive Health Center (Miami, FL), Forefront Telecare Inc (Dallas, TX) and Sondermind Provider Network LLC (Denver, CO). 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 Ludgy Supplice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ludgy Supplice accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Ludgy Supplice 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 Ludgy Supplice was last updated on December 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.