Individual provider Active NPI

Olivia Hockenjos, PA

  • Medical Physician Assistant
  • Haughton, LA
National Provider Identifier
1174120307
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
324557 Issued in LA
Practice address
170 Healthcare Plaza Dr
Haughton, LA 71037-1700
Phone
(318) 706-0022
Fax
(318) 706-0023
NPI assigned
Oct 1, 2020
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 324557 LA
Medical Physician Assistant 363AM0700X 324557 LA Primary

Addresses

Primary practice location

170 Healthcare Plaza Dr
Haughton, LA 71037-1700

Mailing address

170 Healthcare Plaza Dr
Haughton, LA 71037-1700
Phone (318) 706-0022

Other practice location 1

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000

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
I20210524000851 LA Practitioner - Physician Assistant 2163821216 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1501 Kings Hwy
Shreveport, LA 71103-4228

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 675-5000

1602 Kings Hwy
Shreveport, LA 71103-4128
Phone (318) 675-8700

1606 Kings Hwy
Shreveport, LA 71103-4128
Phone (318) 675-6402

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
324557LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Minden Physician Practices LLC CurrentSince May 1, 2021 Accepting new patients
Minden Physician Practices LLC CurrentSince May 1, 2021 Accepting new patients
Minden Physician Practices LLC Past Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients

Locations

170 Healthcare Plaza Dr
Haughton, LA 71037
Phone (318) 382-7299

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

101 Murrell St
Ste 3
Minden, LA 71055
Phone (318) 371-4050

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

Interoperability endpoints

  • Direct secure messaging: minohocke@yourcarecommunity.org
  • Direct secure messaging: olivia.hockenjos.1@3681.direct.athenahealth.com
  • Direct secure messaging: olivia.hockenjos.2@3681.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1601510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1174120307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 HEALTHCARE PLAZA DR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710371700",
            "telephone_number": "318-706-0022",
            "fax_number": "318-706-0023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 HEALTHCARE PLAZA DR",
            "city": "HAUGHTON",
            "state": "LA",
            "postal_code": "710371700",
            "telephone_number": "318-706-0022",
            "fax_number": "318-706-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1541 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOCKENJOS",
        "first_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-01",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "324557",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "324557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haughton, LA

Sources for this page

Verify at the official NPI Registry.