Individual provider Active NPI

Michael Hogan, NP

  • Family Nurse Practitioner
  • Denham Springs, LA
National Provider Identifier
1194100891
Registry record updated Jul 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08468 Issued in LA
Practice address
24950 Arlington Ave
Denham Springs, LA 70726-6602
Phone
(225) 892-4805
NPI assigned
Jul 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN119291 LA
Family Nurse Practitioner 363LF0000X AP08468 LA Primary

Addresses

Primary practice location

24950 Arlington Ave
Denham Springs, LA 70726-6602

Mailing address

24950 Arlington Ave
Denham Springs, LA 70726-6602
Phone (225) 892-4805

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
I20151008002017 LA Practitioner - Nurse Practitioner 6901114008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homedica of Louisiana, LLCGroup PAC ID 4789825837, 19 clinicians

Practice addresses (Care Compare)

8923 Bluebonnet Blvd
Baton Rouge, LA 70810-2814
Phone (225) 766-4133

Hospital & facility affiliations

  • Stat Home Health, LLC Home health agency, La Place, LA, CCN 197549
  • Elara Caring Home health agency, Baton Rouge, LA, CCN 197232
  • Cypress Home Health Home health agency, Baton Rouge, LA, CCN 197200
  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202
  • Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN119291LAMDRegistered Nurse
AP08468LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Physician Services, LLC Nurse Practitioner CurrentSince Jul 1, 2018 Accepting new patients
Homedica of Louisiana, LLC CurrentSince Nov 14, 2022 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

8923 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 766-4133

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 10

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1194100891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24950 ARLINGTON AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266602",
            "telephone_number": "225-892-4805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24950 ARLINGTON AVE",
            "city": "DENHAM SPRINGS",
            "state": "LA",
            "postal_code": "707266602",
            "telephone_number": "225-892-4805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN119291",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denham Springs, LA

Sources for this page

Verify at the official NPI Registry.