STABLE WATERS LLC
NPI 1851222475
Nurse Practitioner - Psychiatric/Mental Health in Broussard, LA

Q: What is Stable Waters LLC's NPI number?

The NPI number for Stable Waters LLC is 1851222475. It was assigned to this organization in the NPPES registry on May 25, 2026.

Q: What is Stable Waters LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stable Waters LLC was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 May 25, 2026

420 ALBERTSON PKWY, BROUSSARD, LA 70518(504) 905-4359 Get Directions Write a Review

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

On this page

About Stable Waters Llc NPPES

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

STABLE WATERS LLC (NPI 1851222475) is a healthcare organization registered as a psychiatric/mental health in Broussard, Louisiana and active in the NPI registry since May 2026. The organization lists Kendra A Calais-kelly, Pmhnp, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1851222475

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameSTABLE WATERS LLC

Location Address420 ALBERTSON PKWYBroussard, LA 70518-4968

Mailing Address407 Bozeman TrlScott, LA 70583-4259 · (504) 905-4359

Phone(504) 905-4359

Organization SubpartNo

Authorized OfficialKendra A Calais-kellyPmhnp, Sole Owner · (504) 905-4359

Enumeration DateMay 25, 2026

NPPES CertifiedMay 25, 2026

✔ NPI 1851222475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

420 ALBERTSON PKWY, Broussard, LA 70518

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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 Blue Cross and Blue Shield of Louisiana, HMO Louisiana.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)

Stable Waters 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 Stable Waters LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kendra Calais-Kelly, PMHNP-BC

Nurse Practitioner

NPI 1326788506

420 ALBERTSON PKWY
Broussard, LA 70518

(337) 237-6444

✔ PECOS✔ Accepts Medicare0.2 mi

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 Stable Waters LLC's NPI number?

The NPI number for Stable Waters LLC is 1851222475. It was assigned to this organization in the NPPES registry on May 25, 2026.

Where is Stable Waters LLC located?

Stable Waters LLC is located at 420 Albertson Pkwy, Broussard, LA 70518. The listed phone number is (504) 905-4359.

What is Stable Waters LLC's specialty?

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

Is Stable Waters LLC enrolled in Medicare?

Yes. Stable Waters LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Stable Waters LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Stable Waters 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 Stable Waters LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Stable Waters 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 Stable Waters LLC was last updated on May 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.