Individual provider Active NPI

Allie Haymon Hoecker

  • Physician Assistant
  • Anacoco, LA
National Provider Identifier
1295560373
Registry record updated Apr 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
146 E Lake Dr
Anacoco, LA 71403-3158
Phone
(337) 423-2199
NPI assigned
Sep 6, 2024
Last updated
Apr 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2025

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 NU Primary

Addresses

Primary practice location

146 E Lake Dr
Anacoco, LA 71403-3158

Mailing address

146 E Lake Dr
Anacoco, LA 71403-3158

Other practice location 1

1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

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
I20241217002247 LA Practitioner - Physician Assistant 5395272249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glen D. Hurlston, M.D., ApmcGroup PAC ID 3779557541, 26 clinicians
South Central Physicians PLLCGroup PAC ID 6507195492, 41 clinicians

Practice addresses (Care Compare)

1020 Fertitta Blvd
Leesville, LA 71446-4645

1020 W Fertita Blvd
Leesville, LA 71446-4645
Phone (337) 239-9041

600 S Pine St
Deridder, LA 70634-4942
Phone (337) 462-7100

Hospital & facility affiliations

National Provider Directory

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

Organizations & group practices 3

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 & facility affiliations 2

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": "1725580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745625600000",
    "number": "1295560373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 E LAKE DR",
            "city": "ANACOCO",
            "state": "LA",
            "postal_code": "714033158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 E LAKE DR",
            "city": "ANACOCO",
            "state": "LA",
            "postal_code": "714033158",
            "telephone_number": "337-423-2199"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W Fertitta Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "714464645",
            "country_code": "US",
            "telephone_number": "337-239-9041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOECKER",
        "first_name": "ALLIE",
        "middle_name": "HAYMON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-06",
        "last_updated": "2025-04-26",
        "certification_date": "2025-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anacoco, LA

Sources for this page

Verify at the official NPI Registry.