MARY MARGARET GAUTREAU, CNM — NPI 1073664009 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1073664009

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367A00000X (CMS 42)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse

Box 32 Service Location & ZIP+4

22601 HIGHWAY 190 E, ROBERT, LA, 70455-1731

✓ 9-Digit EDI 837 ZIP+4 (70455-1731)

Practice Phone & Referral Fax

(504) 236-5311

Fax: (985) 542-2755

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1073664009 (MARY MARGARET GAUTREAU, CNM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1073664009` (NPI-1 Individual Practitioner)
Provider / Legal Name	MARY MARGARET GAUTREAU, CNM
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: `367A00000X` (Advanced Practice Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	22601 HIGHWAY 190 E, ROBERT, LA, 70455-1731
Practice Telephone / Fax	Tel: (504) 236-5311 \| Fax: (985) 542-2755
Administrative Mailing Address	22601 HIGHWAY 190 E, ROBERT, LA, 70455-1731
Enumeration & Last Sync	Enumerated: 2007-01-16 \| CMS Record Updated: 2016-12-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

22601 HIGHWAY 190 E, ROBERT, LA, 70455-1731

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Plain-English Taxonomy & CMS Crosswalk (367A00000X)

What Does Taxonomy Code 367A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 42 (Certified Nurse Midwife)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Advanced Practice Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MARY MARGARET GAUTREAU, CNM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: LA \| License: `RN086761` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MARY MARGARET GAUTREAU, CNM (NPI #1073664009)