Amy Alston, PA
Individual provider Active NPI Physician Assistant · Metairie, LA
NPI 1013528629 · NPPES record last updated Dec 14, 2024
Key facts
- NPI
- 1013528629
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 329664 (LA)
- Practice address
- 4401 Veterans Memorial Blvd Ste 100
Metairie, LA 70006-5360 - Phone
- (504) 899-6652
- NPI assigned
- Aug 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Nola Dermatology
Practice addresses (Care Compare)
2318 Pass Rd
Suite C
Biloxi, MS 39531-4044
Phone (228) 594-9904
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in LA, MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220201001696 | LA | Practitioner - Physician Assistant | 7719370410 | Reassigns benefits to 2 organizations |
| I20240724002746 | MS | Practitioner - Physician Assistant | 7719370410 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients | |
| Mid-Florida Dermatology Associates P.a. | Past |
Accepting new patients |
Locations
1514 Jefferson Hwy
New Orleans, LA 70121
2750 Gause Blvd E
Slidell, LA 70461
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 329664 | LA | Yes |
Addresses
Primary practice location
4401 Veterans Memorial Blvd Ste 100
Metairie, LA 70006-5360
Mailing address
4401 Veterans Memorial Blvd Ste 100
Metairie, LA 70006-5360
Other providers in Metairie, LA
- Alphacare Support Coordination, LLC
- Alphacare Support Coordination, LLC
- Alphasupportedlivingservicesinc
- Tonisha Alridge
- Megan Elizabeth Alsop
- Alternate Choices Inc
- Jane E. Althans
- Altix Medical la a Professional Corporation
- William Richard Altmiller
- Kori Alugas
All providers in Metairie, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.