Individual provider Active NPI

Renee Gene Lacouette, PA-C

  • Physician Assistant
  • Hempstead, NY
National Provider Identifier
1073265849
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1000 Fulton Ave
Hempstead, NY 11550-1030
Phone
(516) 463-6000
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NY Primary

Addresses

Primary practice location

1000 Fulton Ave
Hempstead, NY 11550-1030

Mailing address

1000 Fulton Ave
Hempstead, NY 11550-1030
Phone (516) 463-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220415000349 NY Practitioner - Physician Assistant 8022404276 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Excel Urgent Care of Goshen PLLCGroup PAC ID 5496811275, 16 clinicians
Excel Urgent Care of Fishkill PLLCGroup PAC ID 9032267919, 11 clinicians
Anderson Medical PC Dba Emergency OneGroup PAC ID 0648161653, 22 clinicians

Practice addresses (Care Compare)

1 Hatfield LN
Suite 2B
Goshen, NY 10924-6753
Phone (845) 360-5530

1004 Main St
Fishkill, NY 12524-3509
Phone (845) 765-2240

2555 S Rd
Poughkeepsie, NY 12601-5393
Phone (845) 330-3200

306 Windsor Hwy
New Windsor, NY 12553-6908
Phone (845) 787-1400

40 Hurley Ave
Suite 4
Kingston, NY 12401-3738
Phone (845) 338-5600

4274 Albany Post Rd
Hyde Park, NY 12538-1718
Phone (845) 229-2602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
028166NYMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fishkill Pharmacy LLC Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1073265849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501030",
            "telephone_number": "516-463-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FULTON AVE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115501030",
            "telephone_number": "516-463-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOUETTE",
        "first_name": "RENEE",
        "middle_name": "GENE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.