Active NPI
Aimee Rebekah Mulhearn, PA
- Physician Assistant
- Lake Charles, LA
National Provider Identifier
1114366325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA.200625
- Practice address
- 501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724 - Phone
- (337) 312-8328
- NPI assigned
- Jun 20, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA.200625 | LA | Primary |
Addresses
Primary practice location
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Mailing address
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8258
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2345567 | Medicaid | LA |
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
Enrollment records 1
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
Practice addresses (Care Compare)
277N Hwy 171
Suite 8
Lake Charles, LA 70611-5374
Phone (337) 312-0030
501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400
Hospital & facility affiliations
- Christus Ochsner Lake Area Hospital
- Christus Ochsner St Patrick Hospital
- West Calcasieu Cameron Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imperial Health, LLP | Current | Accepting new patients | |
| Imperial Health LLP | Current | Accepting new patients |
Locations
501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258
Interoperability endpoints
- aimee.mulhearn@1288.direct.myezyaccess.com
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.
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1053352401
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Lake Charles, LA
- NPI 1740982115
Hospital & facility affiliations 13
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1083992382
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1093719932
-
- Multi-Specialty Clinic/Center
- Sulphur, LA
- NPI 1215560974
Hospital
-
- Otolaryngology/Facial Plastic Surgery Physician
- Sulphur, LA
- NPI 1366700387
Hospital
-
- Obstetrics & Gynecology Physician
- Sulphur, LA
- NPI 1619221348
Hospital
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1093927105
Hospital
-
- Student Health Clinic/Center
- Lake Charles, LA
- NPI 1205040995
Hospital
-
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
Hospital
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1548796378
-
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1629076468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492041600000",
"number": "1114366325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-312-8258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-312-8328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHEARN",
"first_name": "AIMEE",
"middle_name": "REBEKAH",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-20",
"last_updated": "2017-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA.200625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2345567",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.