Individual provider Active NPI

Jolie Relle

  • Medical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1114357472
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200642 Issued in LA
Practice address
9001 Summa Ave
Baton Rouge, LA 70809-3726
Phone
(985) 397-3879
NPI assigned
Nov 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200642 LA Primary

Addresses

Primary practice location

9001 Summa Ave
Baton Rouge, LA 70809-3726

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 1

IdentifierTypeStateIssuer
2356810MedicaidLA

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
I20140520002044 LA Practitioner - Physician Assistant 2365665379 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

4710 Bluebonnet Blvd
Suite B
Baton Rouge, LA 70809-9634
Phone (225) 763-4390

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.200642LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 7, 2014 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 7, 2014 Accepting new patients
Baton Rouge General Physicians, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

9001 Summa Ave
Baton Rouge, LA 70809

4710 Bluebonnet Blvd
#B
Baton Rouge, LA 70809
Phone (225) 763-4390

8490 Picardy Ave
Ste 600
Baton Rouge, LA 70809
Phone (225) 763-4445

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 5

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": "1385078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1114357472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9001 SUMMA AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093726",
            "telephone_number": "985-397-3879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLE",
        "first_name": "JOLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-22",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2356810",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.