Stefanie Hummel Theriot, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

308907 Issued in LA

Practice address

105 Patriot St Ste 101
Lafayette, LA 70508-6831

Phone

(337) 981-2125

Fax

(337) 981-2174

NPI assigned

Aug 2, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA, KS2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lourdes After Hours LLCGroup PAC ID 5496704553, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002
• Acadia General Hospital Hospital, Crowley, LA, CCN 190044

Merit-based Incentive Payment System (MIPS)

Final score

96.73 of 100Reported as group

Quality

84.95

Improvement activities

40

Cost

85.77

Merit-based Incentive Payment System (MIPS)

Final score

90.22 of 100Reported as group

Quality

83.11

Improvement activities

40

Cost

80.17

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stheriot1452937@direct.ochsner.org
• Direct secure messaging: shummel133693@direct.casso.us.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Abbeville Emergency Group LLC

  • Emergency Medicine Physician
  • Abbeville, LA
  • NPI 1760799290

  Single Specialty

  Medicare reassignment NPD
• Ambassador Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1316030844
  Medicare reassignment
• Convenient Care LLC

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment
• Coolidge Emergency Group LLC

  • Emergency Medicine Physician
  • Lafayette, LA
  • NPI 1801140934
  Medicare reassignment
• Crowley Emergency Group LLC

  • Emergency Medicine Physician
  • Crowley, LA
  • NPI 1508275538
  Medicare reassignment
• Uk St Francis Urgent Care

  • Urgent Care Clinic/Center
  • Topeka, KS
  • NPI 1457970782
  Medicare reassignment
• Convenient Care LLC

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Convenient Care LLC

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1821181801
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Acadia General Hospital, Inc.

  • General Acute Care Hospital
  • Crowley, LA
  • NPI 1669882940
  Care Compare affiliation
• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1003394891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 PATRIOT ST STE 101",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086831",
            "telephone_number": "337-981-2125",
            "fax_number": "337-981-2174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Ambassador Caffery Pkwy",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705065906",
            "country_code": "US",
            "telephone_number": "337-981-2949",
            "fax_number": "337-989-6703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1214 Coolidge Blvd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705032621",
            "country_code": "US",
            "telephone_number": "337-289-7991",
            "fax_number": "337-289-7711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THERIOT",
        "first_name": "STEFANIE",
        "middle_name": "HUMMEL",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-02",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.308907",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "308907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503596",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colin Brea Theriot Hanover, M.ED., NCC, LPC
• John C Theriot, D.D.S.
• Naomi Pontiff Theriot, M.A., CCC-A
• Norma T. Theriot
• Rebecca B Theriot, APN
• Andrew Thevis
• Jade Thibeaux
• Ruth Ann Thibeaux, M.S., CCC-SLP
• Whitley M Thibeaux
• Emily Renee Thibodaux, P.A.-C

• Physician Assistant in Lafayette, LA
• Providers in Lafayette, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.