NPIMap

Lucas Moncla, PA

Individual provider Active NPI Physician Assistant · Bossier City, LA

NPI 1083335533 · NPPES record last updated Mar 17, 2025

Key facts

NPI
1083335533
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 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
Sex
Male
Sole proprietor
No

Organizations & group practices 11

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 24

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

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLC (48 clinicians)
Northeast Louisiana Physicians LLC (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

  • Minden Medical Center Hospital · Minden, LA · CCN 190144
  • Christus Shreveport-Bossier Health System Hospital · Shreveport, LA · CCN 190041
  • Christus St Frances Cabrini Hospital Hospital · Alexandria, LA · CCN 190019
  • Willis Knighton Medical Center Hospital · Shreveport, LA · CCN 190111

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

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

Locations

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

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

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

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

Interoperability endpoints

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 17, 2025.

{
    "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

All providers in Bossier City, LA · Physician Assistant in Louisiana

Sources for this page

Verify at the official NPI Registry.