Individual provider Active NPI

Michelle Prentice Mayeur, NP-C

  • Family Nurse Practitioner
  • River Ridge, LA
National Provider Identifier
1295280212
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08899 Issued in LA
Practice address
147 W Henfer Ave
River Ridge, LA 70123-2470
Phone
(504) 400-9164
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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 AP08899 LA Primary

Addresses

Primary practice location

147 W Henfer Ave
River Ridge, LA 70123-2470

Mailing address

147 W Henfer Ave
River Ridge, LA 70123-2470
Phone (504) 400-9164

Other names 1

  • Michelle Maureen Prentice Former name

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
I20190131003080 LA Practitioner - Nurse Practitioner 2668750142 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP08899LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 24, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Jun 24, 2019 Accepting new patients
LHCG Xliii, LLC PastSince Nov 5, 2018 Accepting new patients

Locations

1200 S Clearview Pkwy
Ste 1200
New Orleans, LA 70123
Phone (504) 733-1600

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1295280212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 W HENFER AVE",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232470",
            "telephone_number": "504-400-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 W HENFER AVE",
            "city": "RIVER RIDGE",
            "state": "LA",
            "postal_code": "701232470",
            "telephone_number": "504-400-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYEUR",
        "first_name": "MICHELLE",
        "middle_name": "PRENTICE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "PRENTICE",
            "middle_name": "MAUREEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in River Ridge, LA

Sources for this page

Verify at the official NPI Registry.