NPIMap

Individual provider Active NPI

Clay Lawrence Hill, CFNP, APRN

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1174956510
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07466 Issued in LA
Practice address
1727 Imperial Blvd
BLDG 2
Lake Charles, LA 70605-5362
Phone
(337) 433-8400
Fax
(337) 421-1408
NPI assigned
Aug 20, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP07466 LA Primary

Addresses

Primary practice location

1727 Imperial Blvd
BLDG 2
Lake Charles, LA 70605-5362

Mailing address

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140702002465 LA Practitioner - Nurse Practitioner 3274758339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

1727 Imperial Blvd
BLDG 2
Lake Charles, LA 70605-5362
Phone (337) 310-3670

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013
  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050
  • Ochsner American Legion Hospital Hospital, Jennings, LA, CCN 190053
  • Oakdale Community Hospital Hospital, Oakdale, LA, CCN 190106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP07466LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heinen Family Medicine Family CurrentSince Feb 10, 2022 Accepting new patients
Imperial Health, LLP CurrentSince May 5, 2014 Accepting new patients
Imperial Health LLP CurrentSince May 5, 2014 Accepting new patients

Locations

1727 Imperial Blvd
Bldg 2
Lake Charles, LA 70605
Phone (337) 310-3670

302 W McNeese St
Lake Charles, LA 70605
Phone (337) 210-1207

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

109 Executive Dr
#C
Lake Charles, LA 70611
Phone (337) 217-0922

1920 W Sale Rd
Ste F2
Lake Charles, LA 70605

1103 W McNeese St
Lake Charles, LA 70605
Phone (337) 474-7581

1920 W Sale Rd
Ste 2
Lake Charles, LA 70605
Phone (337) 312-8284

Interoperability endpoints

  • Direct secure messaging: clay.hill@1288.direct.myezyaccess.com

Organizations & group practices 3

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": "1376956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1174956510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DOCTOR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8258",
            "fax_number": "337-312-6708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD",
            "address_2": "BLDG 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055362",
            "telephone_number": "337-433-8400",
            "fax_number": "337-421-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CLAY",
        "middle_name": "LAWRENCE",
        "name_prefix": "Mr.",
        "credential": "CFNP, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-20",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.