Individual provider Active NPI

Michael James Willoz, FNP, MBA

  • Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1255778098
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP07499 Issued in LA
Practice address
3838 N Causeway Blvd Ste 2200
Metairie, LA 70002-8306
Phone
(504) 473-6325
NPI assigned
Jun 3, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X AP07499 LA Primary

Addresses

Primary practice location

3838 N Causeway Blvd Ste 2200
Metairie, LA 70002-8306

Mailing address

56 Beverly Garden Dr
Metairie, LA 70001-3068
Phone (504) 473-6325

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
I20150318000765 LA Practitioner - Nurse Practitioner 1052638707 Reassigns benefits to 3 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

Practice addresses (Care Compare)

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-6565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund Single Specialty CurrentSince Jan 17, 2015 Accepting new patients
East Jefferson Physicians Group LLC Single Specialty CurrentSince Jan 1, 2025 Accepting new patients
Dr. Brain, Inc Single Specialty CurrentSince Apr 1, 2020 Accepting new patients
Administrators of the Tulane Educational Fund Single Specialty CurrentSince Jan 17, 2015 Accepting new patients
Metairie Physician Services Inc. Single Specialty Past Accepting new patients

Locations

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

1415 Tulane Ave
#22
New Orleans, LA 70112
Phone (504) 988-4352

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

3525 Prytania St
Ste 220
New Orleans, LA 70115
Phone (504) 897-4017

5620 Read Blvd
Fl 6
New Orleans, LA 70127
Phone (225) 927-0567

Organizations & group practices 5

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 4

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": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591574400000",
    "number": "1255778098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BEVERLY GARDEN DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013068",
            "telephone_number": "504-473-6325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 N CAUSEWAY BLVD STE 2200",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700028306",
            "telephone_number": "504-473-6325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOZ",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "credential": "FNP, MBA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-03",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP07499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.