Individual provider Active NPI

Maitland Frilot Degenova, FNP

  • Critical Care Medicine Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1023632379
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
212549 Issued in LA
Practice address
1401 Foucher St
ICU
New Orleans, LA 70115-3678
Phone
(504) 210-4301
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 212549 LA
Critical Care Medicine Nurse Practitioner 363LC0200X 212549 LA Primary

Addresses

Primary practice location

1401 Foucher St
ICU
New Orleans, LA 70115-3678

Mailing address

3600 Prytania St Ste 35
New Orleans, LA 70115-3678
Phone (504) 897-7197

Other names 1

  • Maitland Louise Frilot Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL mfrilot@uceleven.org

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210215001764 LA Practitioner - Nurse Practitioner 1658786140 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crescent City Physicians IncGroup PAC ID 2769370543, 158 clinicians

Practice addresses (Care Compare)

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.25 of 100Reported as group
Quality
71.6
Improvement activities
40
Cost
72.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
212549LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crescent City Physicians, Inc. Single Specialty CurrentSince Jul 13, 2023 Accepting new patients

Locations

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

3700 Saint Charles Ave
Fl 4
New Orleans, LA 70115
Phone (504) 412-1444

100 W Harrison Ave
Ste 101
New Orleans, LA 70124
Phone (504) 325-2929

3712 MacArthur Blvd
Ste 200
New Orleans, LA 70114
Phone (504) 349-6336

2820 Canal St
New Orleans, LA 70119
Phone (504) 821-8158

3600 Prytania St
Ste 35
New Orleans, LA 70115
Phone (504) 897-7197

Organizations & group practices 1

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 2

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": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1023632379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 PRYTANIA ST STE 35",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-897-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 FOUCHER ST",
            "address_2": "ICU",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153678",
            "telephone_number": "504-210-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGENOVA",
        "first_name": "MAITLAND",
        "middle_name": "FRILOT",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "212549",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "LA",
            "license": "212549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mfrilot@uceleven.org",
            "affiliation": "N",
            "address_1": "3218 Saint Claude Ave",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701176659",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MAITLAND",
            "last_name": "FRILOT",
            "middle_name": "LOUISE",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.