Active NPI
Whitney Meshell Domangue, PA-C
- Physician Assistant
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 337629
- Practice address
- 1001 Gause Blvd
Slidell, LA 70458-2987 - Phone
- (985) 280-2200
- NPI assigned
- Aug 14, 2023
- 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 | 337629 | LA | Primary |
Addresses
Primary practice location
1001 Gause Blvd
Slidell, LA 70458-2987
Mailing address
13232 Village Trace Dr
Folsom, LA 70437-6145
Phone (870) 415-7896
Other practice location 1
2500 Belle Chasse Hwy
Gretna, LA 70056
Phone (504) 392-3131
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231208002341 | LA | Practitioner - Physician Assistant | 3476902966 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Belle Chasse Physician Services LLC
Practice addresses (Care Compare)
100 Medical Ctr Dr
Slidell, LA 70461-5520
Phone (985) 646-5100
1001 Gause Blvd
Slidell, LA 70458-2939
Phone (985) 643-2200
Hospital & facility affiliations
- Slidell Memorial Hospital
- Ochsner Medical Center Acute
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.21 of 100
- Quality
- 64.85
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- wmeshell520566@direct.ochsner.org
Organizations & group practices 1
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 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729728000000",
"number": "1124801345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13232 VILLAGE TRACE DR",
"city": "FOLSOM",
"state": "LA",
"postal_code": "704376145",
"telephone_number": "870-415-7896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 GAUSE BLVD",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704582987",
"telephone_number": "985-280-2200"
}
],
"practiceLocations": [
{
"address_1": "2500 Belle Chasse Hwy",
"address_purpose": "LOCATION",
"city": "Gretna",
"state": "LA",
"postal_code": "70056",
"country_code": "US",
"telephone_number": "504-392-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMANGUE",
"first_name": "WHITNEY",
"middle_name": "MESHELL",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2024-10-24",
"certification_date": "2024-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "337629",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.