Individual provider Active NPI

Abby Renee Rochelle, PA-C

  • Physician Assistant
  • Norco, LA
National Provider Identifier
1215710827
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1199739 Issued in LA
Practice address
625 W Pine St
Norco, LA 70079-2147
Phone
(504) 559-8363
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1199739 LA Primary

Addresses

Primary practice location

625 W Pine St
Norco, LA 70079-2147

Mailing address

625 W Pine St
Norco, LA 70079-2147
Phone (504) 559-8363

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231226000078 LA Practitioner - Physician Assistant 9234589714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in Shreveport, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Douglas Mehaffie MD LLCGroup PAC ID 7012048697, 18 clinicians

Practice addresses (Care Compare)

148 Wall Blvd
Gretna, LA 70056-7107
Phone (504) 393-2273

309 Belle Terre Blvd
La Place, LA 70068-2433
Phone (985) 359-2273

4001 Lapalco Blvd
Suite 10
Harvey, LA 70058-2389
Phone (504) 420-2273

4907 Prytania St
New Orleans, LA 70115-4017
Phone (504) 229-0599

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1199739LAMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692144000000",
    "number": "1215710827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W PINE ST",
            "city": "NORCO",
            "state": "LA",
            "postal_code": "700792147",
            "telephone_number": "504-559-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W PINE ST",
            "city": "NORCO",
            "state": "LA",
            "postal_code": "700792147",
            "telephone_number": "504-559-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHELLE",
        "first_name": "ABBY",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "1199739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, LA

Sources for this page

Verify at the official NPI Registry.