npidexNPI registry + Medicare data

LAKSAMANA NUSANTARA, NP

Primary Care Nurse Practitioner · LAFAYETTE, LA

Individual Active NPI 1205610607

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Primary Care Nurse Practitioner363LP2300X✓234786LA
Family Nurse Practitioner363LF0000X11027192FL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.