Physician Compare National (NPI:1437160231)

HEALTHCARE PROVIDER: SIMONE ADEL PITRE C-NP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1437160231
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5799023081
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20190212001648
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	PITRE
	Individual professional last name
Provider First Name	SIMONE
	Individual professional first name
Provider Middle Name	ADEL
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1999
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	SOUTHCARE MEDICAL LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	4789808197
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	4
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	1305 N STATE ST
	Group Practice or individual's line 1 address
City	ABBEVILLE
	Group Practice or individual's city
State	LA
	Group Practice or individual's state
Zip Code	705102825
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3374226240
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	190034
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	ABBEVILLE GENERAL HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	190102
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	OUR LADY OF LOURDES REGIONAL MEDICAL CENTER, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y