NPIMap

Individual provider Active NPI

Lucas Moncla, PA

  • Physician Assistant
  • Bossier City, LA
National Provider Identifier
1083335533
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2400 Hospital Dr Ste 130
Bossier City, LA 71111-2386
Phone
(318) 212-7990
Fax
(318) 212-7995
NPI assigned
Sep 2, 2022
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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 Primary

Addresses

Primary practice location

2400 Hospital Dr Ste 130
Bossier City, LA 71111-2386

Mailing address

2400 Hospital Dr Ste 130
Bossier City, LA 71111-2386
Phone (318) 212-7990

Other practice location 1

2600 Greenwood Rd
Shreveport, LA 71103-3908
Phone (318) 212-4001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221215000945 LA Practitioner - Physician Assistant 6002285954 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians
Northeast Louisiana Physicians LLCGroup PAC ID 2365885944, 44 clinicians

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 382-4090

1111 Homer Rd
Minden, LA 71055-3027
Phone (318) 377-7500

1453 E Bert Kouns Industrial Loop
Christus Highland Medical Center
Shreveport, LA 71105-5634
Phone (318) 681-4500

2 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-4051

3 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 371-5615

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince Jan 15, 2024 Accepting new patients
Nes Louisiana Inc CurrentSince May 26, 2024 Accepting new patients
Minden Physician Practices LLC CurrentSince Jan 15, 2024 Accepting new patients

Locations

2400 Hospital Dr
Ste 130
Bossier City, LA 71111
Phone (318) 212-7990

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500

501 Keyser Ave
Natchitoches, LA 71457
Phone (318) 214-4200

Interoperability endpoints

  • Direct secure messaging: lucas.moncla.1@3681.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1083335533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 130",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112386",
            "telephone_number": "318-212-7990",
            "fax_number": "318-212-7995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HOSPITAL DR STE 130",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711112386",
            "telephone_number": "318-212-7990",
            "fax_number": "318-212-7995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 Greenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711033908",
            "country_code": "US",
            "telephone_number": "318-212-4001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONCLA",
        "first_name": "LUCAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-09-02",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bossier City, LA

Sources for this page

Verify at the official NPI Registry.