Individual provider Active NPI

Hollie Steffens Donnelly, APRN

  • Adult Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1174800569
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN094646-AP06583 Issued in LA
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

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2174746MedicaidLA
AP06583OtherLASTATE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 23 clinicians

Practice addresses (Care Compare)

2750 Aster St
Lake Charles, LA 70601-8824
Phone (337) 480-8900

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
  • Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN094646-AP06583LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Medical Services Family Practice Associates, LLC CurrentSince Jul 1, 2021 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 13

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

View all 13

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

Verify at the official NPI Registry.