Provider Profile

Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP-

Unclaimed Profile

About Manivanh Prudhomme

Manivanh A. Prudhomme, MSN, FNP-BC, AGACNP- is a nurse practitioner practicing in Vicksburg, MS. Manivanh is also listed as specializing in nurse practitioner — family. According to Medicare claims data, Manivanh cared for 981 Medicare patients across 1,771 services. The services billed most often include injection, ceftriaxone sodium, per 250 mg, injection, dexamethasone sodium phosphate, 1 mg, and established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more. This provider record is associated with NPI 1144831140.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2020

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

MS licenceAs reported to the NPI registry
No. 904068As reported
NPINational Provider Identifier
1144831140Issued 2020

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What is Manivanh A. Prudhomme, MSN, FNP-BC's specialty?

Manivanh A. Prudhomme, MSN, FNP-BC is a nurse practitioner in Vicksburg, MS. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where can I find Manivanh A. Prudhomme, MSN, FNP-BC?

Manivanh A. Prudhomme, MSN, FNP-BC is listed at 2011 Highway 61 N, Vicksburg, MS 39183. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How do I contact Manivanh A. Prudhomme, MSN, FNP-BC?

The number on file is (014) 562-2776. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Manivanh A. Prudhomme, MSN, FNP-BC's NPI number?

Manivanh A. Prudhomme, MSN, FNP-BC's National Provider Identifier is 1144831140. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

What is Manivanh A. Prudhomme, MSN, FNP-BC's education?

Manivanh A. Prudhomme, MSN, FNP-BC attended Other, graduating in 2020. This comes from the CMS National Downloadable File.

CMS public data

How long has Manivanh A. Prudhomme, MSN, FNP-BC been practicing?

Manivanh A. Prudhomme, MSN, FNP-BC has 6 years experience. Calculated from a graduation year of 2020, reported in the CMS National Downloadable File.

CMS public data

What is Manivanh A. Prudhomme, MSN, FNP-BC known for?

According to Medicare billing data, Manivanh A. Prudhomme, MSN, FNP-BC performs procedures including insertion of needle into vein for collection of blood sample; reads or performs imaging such as x-ray of chest, 2 views; provides treatments such as injection of drug or substance under skin or into muscle, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.

Medicare claims

Has Manivanh A. Prudhomme, MSN, FNP-BC confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Manivanh A. Prudhomme, MSN, FNP-BC. If this is you, claiming it is free.

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