Active NPI
Hollie Steffens Donnelly, APRN
- Adult Health Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN094646-AP06583
- Practice address
- 2900 2ND Ave
Lake Charles, LA 70601-8906 - Phone
- (337) 480-8994
- Fax
- (337) 480-8993
- NPI assigned
- Nov 14, 2011
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | RN094646-AP06583 | LA | Primary |
Addresses
Primary practice location
2900 2ND Ave
Lake Charles, LA 70601-8906
Mailing address
PO Box 122539 Dept 2539
Dallas, TX 75312-0001
Phone (337) 494-2772
Other practice location 1
217 Sam Houston Jones Pkwy Ste 104
Lake Charles, LA 70611-5644
Phone (337) 480-8989
Other practice location 2
1890 W Gauthier Rd Ste 155
Lake Charles, LA 70605-7119
Phone (337) 480-5550
Other practice location 3
2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2174746 | Medicaid | LA | |
| AP06583 | Other | LA | STATE LICENSE |
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 |
|---|---|---|---|---|
| I20210628002681 | LA | Practitioner - Nurse Practitioner | 4880095843 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Lake Charles Medical Services Family Practice Associates, LLC
Practice addresses (Care Compare)
2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900
Hospital & facility affiliations
- Lake Charles Memorial Hospital
- Beauregard Memorial Hospital
- West Calcasieu Cameron Hospital
- Ochsner American Legion Hospital
- Dequincy Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN094646-AP06583 | LA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Charles Medical Services Family Practice Associates, LLC | Current | Accepting new patients | |
| Christus Health Southwestern Louisiana | Past | Accepting new patients |
Locations
2800 2nd Ave
Ste C
Lake Charles, LA 70601
Phone (337) 474-2082
2900 2nd Ave
Lake Charles, LA 70601
Phone (337) 480-8175
1890 W Gauthier Rd
Ste 155
Lake Charles, LA 70605
Phone (337) 477-6061
2750 Aster St
Lake Charles, LA 70601
Phone (337) 478-2650
217 Sam Houston Jones Pkwy
Ste 104
Lake Charles, LA 70611
Phone (337) 480-8989
Interoperability endpoints
- hdonnelly5281977@direct.casso.us.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 1396926069
LA
-
- Student Health Clinic/Center
- Grand Chenier, LA
- NPI 1407068299
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
Hospital
-
- General Acute Care Hospital
- Sulphur, LA
- NPI 1093719932
Hospital
-
- 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
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
Hospital
-
- General Acute Care Hospital
- Jennings, LA
- NPI 1184373268
Hospital
-
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1174800569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122539 DEPT 2539",
"city": "DALLAS",
"state": "TX",
"postal_code": "753120001",
"telephone_number": "337-494-2772",
"fax_number": "337-494-2928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 2ND AVE",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706018906",
"telephone_number": "337-480-8994",
"fax_number": "337-480-8993"
}
],
"practiceLocations": [
{
"address_1": "217 Sam Houston Jones Pkwy Ste 104",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706115644",
"country_code": "US",
"telephone_number": "337-480-8989",
"fax_number": "337-480-8988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1890 W Gauthier Rd Ste 155",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706057119",
"country_code": "US",
"telephone_number": "337-480-5550",
"fax_number": "337-480-5568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2750 Aster St",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018824",
"country_code": "US",
"telephone_number": "337-480-8900",
"fax_number": "337-480-8901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DONNELLY",
"first_name": "HOLLIE",
"middle_name": "STEFFENS",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-14",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "LA",
"license": "RN094646-AP06583",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2174746",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AP06583",
"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 27, 2022; 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.