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PEGASUS PRIMARY PROVIDERS, LLC
NPI 1982486395
Nurse Practitioner in West Monroe, LA

Active since October 19, 2023CLIA 19D2325807 · Waiver
4624 CYPRESS ST STE 7, WEST MONROE, LA 71291(318) 325-6200(318) 998-7348 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pegasus Primary Providers, Llc NPPES

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

PEGASUS PRIMARY PROVIDERS, LLC (NPI 1982486395) is a healthcare organization registered as a nurse practitioner in West Monroe, Louisiana and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Glenda Sherry Peveto, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1982486395
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePEGASUS PRIMARY PROVIDERS, LLC
Location Address4624 CYPRESS ST STE 7West Monroe, LA 71291-1348
Mailing AddressPo Box 2716West Monroe, LA 71294-2716
Phone(318) 325-6200
Fax(318) 998-7348
Organization SubpartNo
Authorized OfficialGlenda Sherry PevetoOwner/provider · (318) 325-6200
Enumeration DateOctober 19, 2023
NPPES CertifiedOctober 19, 2023
✔ NPI 1982486395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4624 CYPRESS ST STE 7, West Monroe, LA 71291
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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 ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2325807

Pegasus Primary Providers, LLC · West Monroe, LA
Active · expires Jun 19, 2027
CLIA Number19D2325807
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorGlenda S. Peveto
Laboratory Phone(318) 914-8150
Laboratory LocationPegasus Primary Providers, LLC4624 Cypress St Suite 7, West Monroe, LA 71291
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NATALIE DEMOSS APRN-CPNP
Nurse Practitioner (Pediatrics)
4624 CYPRESS ST STE 7
WEST MONROE, LA 71291
Ouachita Parish (318) 512-4112

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 Pegasus Primary Providers, LLC's NPI number?

The NPI number for Pegasus Primary Providers, LLC is 1982486395. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Pegasus Primary Providers, LLC located?

Pegasus Primary Providers, LLC is located at 4624 Cypress St Ste 7, West Monroe, LA 71291. The listed phone number is (318) 325-6200.

What is Pegasus Primary Providers, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Does Pegasus Primary Providers, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2325807) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pegasus Primary Providers, LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Pegasus Primary Providers, 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 Pegasus Primary Providers, LLC was last updated on October 19, 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.