Active NPI
Mary Dahlen, APRN
- Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 081161
- Practice address
- 1000 Walters St
Lake Charles, LA 70607-4647 - Phone
- (337) 475-8100
- NPI assigned
- Apr 24, 2007
- Last updated
- Dec 27, 2016
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 081161 | LA | Primary |
Addresses
Primary practice location
1000 Walters St
Lake Charles, LA 70607-4647
Mailing address
501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 475-8100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1022799 | Medicaid | LA |
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1017 N Pine St
Deridder Urgent Care
Deridder, LA 70634-2817
Phone (337) 202-4101
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.62 of 100
- Quality
- 70.88
- Improvement activities
- 40
- Cost
- 75.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081161 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Emergency Medicine Management -- Lake Charles LLC | Current | Accepting new patients | |
| Jefferson Davis Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Check Point Primary Care LLC | Current | Accepting new patients | |
| Kisatchie Emergency Group, LLC | Nurse Practitioner | Current | Accepting new patients |
| Sound Physicians Emergency Medicine of Louisiana Inc | Current | Accepting new patients | |
| South Central Physicians PLLC | Current | Accepting new patients | |
| Calcasieu Cameron Emergency Physician Group LLC | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Abbeville Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| University of Utah Emergency Physicians | Past | Accepting new patients |
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
104 Albertson Pkwy
Ste 6
Broussard, LA 70518
753 Odd Fellows Rd
Ste F
Crowley, LA 70526
Phone (337) 514-5233
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
1634 Elton Rd
Jennings, LA 70546
Phone (337) 616-7000
165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370
524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
1108 Parkview Dr
#A
New Iberia, LA 70563
Phone (337) 514-5234
2331 S Union St
Opelousas, LA 70570
Phone (337) 330-2339
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
Organizations & group practices 13
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.
-
dba Calcasieu Urgent Care
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Emergency Medicine Physician
- Abbeville, LA
- NPI 1760799290
Nurse Practitioner
-
- Emergency Medicine Physician
- Sulphur, LA
- NPI 1699167478
-
- Emergency Medicine Physician
- Jennings, LA
- NPI 1043289572
Nurse Practitioner
-
- Emergency Medicine Physician
- Leesville, LA
- NPI 1235693847
Nurse Practitioner
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1396253407
-
- Family Medicine Physician
- New Iberia, LA
- NPI 1215767454
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482796800000",
"number": "1235358003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 DR MICHAEL DEBAKEY DR",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706015724",
"telephone_number": "337-475-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 WALTERS ST",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706074647",
"telephone_number": "337-475-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHLEN",
"first_name": "MARY",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-24",
"last_updated": "2016-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "081161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1022799",
"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 Dec 27, 2016; 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.