Individual provider Active NPI

Steven L McRae

  • Critical Care Medicine Nurse Practitioner
  • Vivian, LA
National Provider Identifier
1124891890
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Nurse PractitionerTaxonomy code 363LC0200X
License
231740 Issued in LA
Practice address
9095 Hosston Vivian Rd
Vivian, LA 71082-8870
Phone
(318) 465-7368
NPI assigned
Nov 3, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 231740 LA Primary

Addresses

Primary practice location

9095 Hosston Vivian Rd
Vivian, LA 71082-8870

Mailing address

9095 Hosston Vivian Rd
Vivian, LA 71082-8870
Phone (318) 465-7368

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 5

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

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minden Physician Practices LLC 48 clinicians
Northwest Louisiana Intensivists LLC 17 clinicians
WK Neurovascular Neurosurgery 7 clinicians

Practice addresses (Care Compare)

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

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone (318) 681-4500

2727 Hearne Ave
Suite 320
Shreveport, LA 71103-3917
Phone (318) 212-6797

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Minden Medical Center Hospital, Minden, LA, CCN 190144

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
I20240216003660 LA Practitioner - Nurse Practitioner 5991149940 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WK Precision Neurosurgery CurrentSince Jan 7, 2024 Accepting new patients
Minden Physician Practices LLC CurrentSince May 22, 2025 Accepting new patients
WK Spectrum Neurosurgery-the Brain & Spine Specialist CurrentSince Jan 7, 2024 Accepting new patients
Minden Physician Practices LLC CurrentSince May 22, 2025 Accepting new patients
WK Neurovascular Neurosurgery CurrentSince Apr 3, 2024 Accepting new patients
WK Pierremont Neurology Clinic CurrentSince May 11, 2024 Accepting new patients
Minden Physician Practices LLC Past Accepting new patients
Willis Knighton Medical Center, Inc. PastSince Apr 3, 2024 Accepting new patients

Locations

2449 Hospital Dr
Ste 210
Bossier City, LA 71111
Phone (318) 212-7280

2400 Hospital Dr
Ste 340
Bossier City, LA 71111
Phone (318) 212-7280

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

346 Homer Rd
Minden, LA 71055
Phone (318) 377-4625

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

2727 Hearne Ave
Ste 320
Shreveport, LA 71103
Phone (318) 212-6797

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1811 E Bert Kouns Industrial Loop
Ste 200
Shreveport, LA 71105
Phone (318) 212-2720

2751 Albert L Bicknell Dr
Ste 1A
Shreveport, LA 71103
Phone (318) 212-8115

8001 Youree Dr
Ste 960
Shreveport, LA 71115
Phone (318) 212-2771

NPI Registry JSON

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698969600000",
    "number": "1124891890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9095 HOSSTON VIVIAN RD",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710828870",
            "telephone_number": "318-465-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9095 HOSSTON VIVIAN RD",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710828870",
            "telephone_number": "318-465-7368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCRAE",
        "first_name": "STEVEN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "LA",
            "license": "231740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vivian, LA

Sources for this page

Verify at the official NPI Registry.