Individual provider Active NPI

Lindsey A Maggio, APRN- CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1073311015
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
239675 Issued in LA
Practice address
2615 Enterprise Blvd Ste a
Lake Charles, LA 70601-7686
Phone
(337) 480-7800
NPI assigned
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 239675 LA Primary

Addresses

Primary practice location

2615 Enterprise Blvd Ste a
Lake Charles, LA 70601-7686

Mailing address

PO Box 123977 Dept 3977
Dallas, TX 75312-0001
Phone (337) 494-2921

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
I20250417002655 LA Practitioner - Nurse Practitioner 5991220378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MMG Archer Institute, LLCGroup PAC ID 7719227115, 16 clinicians

Practice addresses (Care Compare)

2615 Enterprise Blvd
Suite a
Lake Charles, LA 70601-7686
Phone (337) 480-7800

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MMG Archer Institute, LLC CurrentSince Apr 1, 2025 Accepting new patients
Southwest Louisiana Hospital Association Inc CurrentSince Apr 13, 2025 Accepting new patients

Locations

2615 Enterprise Blvd
Ste A
Lake Charles, LA 70601
Phone (337) 480-7800

2829 4th Ave
Ste 150
Lake Charles, LA 70601
Phone (337) 477-7091

Organizations & group practices 2

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": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1073311015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 123977 DEPT 3977",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753120001",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 ENTERPRISE BLVD STE A",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706017686",
            "telephone_number": "337-480-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "LINDSEY",
        "middle_name": "A",
        "credential": "APRN- CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "239675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.