Individual provider Active NPI

Stacey Wayne Mayeaux, MD

  • Family Medicine Physician
  • Opelousas, LA
National Provider Identifier
1013986892
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
24994 Issued in LA
Practice address
519 E Prudhomme St
Opelousas, LA 70570-6499
Phone
(337) 678-3755
Fax
(337) 678-3757
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24994 LA Primary

Addresses

Primary practice location

519 E Prudhomme St
Opelousas, LA 70570-6499

Mailing address

PO Box 8
Opelousas, LA 70571-0008
Phone (337) 678-3755

Other identifiers 1

IdentifierTypeStateIssuer
1423271MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041103000220 LA Practitioner - Family PracticePractitioner - Emergency Medicine 9830151679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

519 E Prudhomme St
Opelousas, LA 70570-6499
Phone (337) 678-3755

Hospital & facility affiliations

  • St Landry Homecare Home health agency, Opelousas, LA, CCN 197136
  • Elara Caring Home health agency, Opelousas, LA, CCN 197062
  • Opelousas General Health System Hospital, Opelousas, LA, CCN 190017
  • Heritage Manor of Opelousas Nursing home, Opelousas, LA, CCN 195321
  • Senior Village Nursing & Rehabilitation Center Nursing home, Opelousas, LA, CCN 195318
  • Our Lady of Prompt Succor Nursing Facility Nursing home, Opelousas, LA, CCN 195369

Merit-based Incentive Payment System (MIPS)

Final score
86.42 of 100Reported as individual
Quality
93.62
Improvement activities
40
Cost
56

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24994LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stacey W Mayeaux MD LLC Family Medicine CurrentSince Feb 15, 2008 Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
Community Care Center of Opelousas LLC Past Accepting new patients

Locations

539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128

315 Harry Guilbeau Rd
Opelousas, LA 70570
Phone (337) 948-4486

519 E Prudhomme St
Opelousas, LA 70570
Phone (337) 678-3755

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCECBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCECBD/Endpoint/DCECBD

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461888000000",
    "number": "1013986892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705710008",
            "telephone_number": "337-678-3755",
            "fax_number": "337-678-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 E PRUDHOMME ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705706499",
            "telephone_number": "337-678-3755",
            "fax_number": "337-678-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEAUX",
        "first_name": "STACEY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2016-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "24994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1423271",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.