Nicholas Glen Maggio

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

204478 Issued in LA

Practice address

11990 Jackson St
Clinton, LA 70722-3210

Phone

(225) 683-5292

Fax

(225) 683-1310

NPI assigned

Apr 18, 2019

Last updated

Jan 7, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Service District 1 of East Baton Rouge ParishGroup PAC ID 0941191902, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lane Regional Medical Center Hospital, Zachary, LA, CCN 190020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Professional

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1962437681
  Medicare reassignment Care Compare group NPD
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Lane Family Practice

  • Family Medicine Physician
  • Zachary, LA
  • NPI 1053538165
  NPD
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center - Lane Health & Wellness Clinic

  • Psychiatry Physician
  • Zachary, LA
  • NPI 1679466577
  NPD
• Riverside Medical Center

  • Critical Access Hospital
  • Franklinton, LA
  • NPI 1700874062
  NPD
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Lane Wound Center

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Zachary, LA
  • NPI 1326249459
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Endoscope Center

  • Endoscopy Clinic/Center
  • Zachary, LA
  • NPI 1255080503

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center

  • General Acute Care Hospital
  • Zachary, LA
  • NPI 1376591941
  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center - Lane Health & Wellness Clinic

  • Psychiatry Physician
  • Zachary, LA
  • NPI 1679466577

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center - LANE ALLERGY ASTHMA AND IMMUNOLOGY

  • Allergy & Immunology Physician
  • Zachary, LA
  • NPI 1740061076

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  • Gastroenterology Physician
  • Zachary, LA
  • NPI 1952878506

  Hospital

  Care Compare affiliation
• Hospital Service District 1 of East Baton Rouge Parish

  dba Lane Regional Medical Center-Lane Dermatology

  • Dermatology Physician
  • Zachary, LA
  • NPI 1992477111

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1555545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1295398808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707220395",
            "telephone_number": "225-683-2529",
            "fax_number": "225-683-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11990 JACKSON ST",
            "city": "CLINTON",
            "state": "LA",
            "postal_code": "707223210",
            "telephone_number": "225-683-5292",
            "fax_number": "225-683-1310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18289 Gould Drive",
            "address_purpose": "LOCATION",
            "city": "st francisville",
            "state": "LA",
            "postal_code": "70775",
            "country_code": "US",
            "telephone_number": "225-767-3900",
            "fax_number": "225-766-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31985 Highway 16",
            "address_2": "Suite B",
            "address_purpose": "LOCATION",
            "city": "Denham Springs",
            "state": "LA",
            "postal_code": "70726",
            "country_code": "US",
            "telephone_number": "225-767-3900",
            "fax_number": "225-766-2226",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "433 Plaza St",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-7023",
            "fax_number": "985-730-7024",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7777 Hennessy Blvd Ste 1000",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708084370",
            "country_code": "US",
            "telephone_number": "225-767-3900",
            "fax_number": "225-766-2226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAGGIO",
        "first_name": "NICHOLAS",
        "middle_name": "GLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-18",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "204478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elandra Leah Levinstone, LCSW
• Louisiana Home Medical Supply, LLC
• Erin Kay Loup, LMSW
• Tiffini Lundy, FNP
• Jesse Tyler Mack, LPC
• Tija Lavine Major, FNP
• Rebecca Lynn Mansur, FNP-C
• Darius Matthews
• Latrinda A Matthews
• Tony Edward Matthews Jr.

• Family Nurse Practitioner in Clinton, LA
• Providers in Clinton, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2021; 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.

Verify at the official NPI Registry.