Krystle Danelle Chase-Circello, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

302202 Issued in LA

Practice address

77575 Landry Dr
Maringouin, LA 70757-3210

Phone

(225) 625-2105

Fax

(225) 625-2109

NPI assigned

Aug 2, 2016

Last updated

Aug 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Innis Community Health Center, IncGroup PAC ID 9931130358, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pointe Coupee Homebound Health Home health agency, New Roads, LA, CCN 197154
• Pointe Coupee General Hospital Hospital, New Roads, LA, CCN 191316

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: krystle.circello@afh.eclinicaldirectplus.com
• Direct secure messaging: maringouin@inchc.directbygreenway.com

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.

• Innis Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Batchelor, LA
  • NPI 1205858388
  Medicare reassignment Care Compare group NPD
• Convenient Care LLC

  dba Lake After Hours Perkins

  • Urgent Care Clinic/Center
  • Baton Rouge, LA
  • NPI 1164422630
  Medicare reassignment
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Lafayette, LA
  • NPI 1649297730
  Medicare reassignment
• Convenient Care LLC

  dba Lake After Hours Hammond

  • Urgent Care Clinic/Center
  • Hammond, LA
  • NPI 1225119225
  NPD
• Innis Community Health Center, Inc

  dba Livonia School Based Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1578986006
  NPD
• Lourdes After Hours LLC

  • Urgent Care Clinic/Center
  • Carencro, LA
  • NPI 1669774923
  NPD
• Innis Community Health Center, Inc

  dba Livonia Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Livonia, LA
  • NPI 1003910167
  NPD (past)
• Innis Community Health Center, Inc

  dba Rougon Elementary School

  • Federally Qualified Health Center (FQHC)
  • Rougon, LA
  • NPI 1780059162
  NPD (past)

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

• Hospital Service District No. 1 of Pointe Coupee, Louisiana, Inc.

  dba Pointe Coupee Homebound Health and Hospice

  • Home Health Agency
  • New Roads, LA
  • NPI 1578566261
  Care Compare affiliation
• Pointe Coupee Parish Health Services District Number One

  • Critical Access Hospital
  • New Roads, LA
  • NPI 1588648315
  Care Compare affiliation

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

{
    "created_epoch": "1470096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1306399712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6450 LA HIGHWAY 1",
            "city": "BATCHELOR",
            "state": "LA",
            "postal_code": "707153212",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77575 LANDRY DR",
            "city": "MARINGOUIN",
            "state": "LA",
            "postal_code": "707573210",
            "telephone_number": "225-625-2105",
            "fax_number": "225-625-2109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8387 Newfield Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0404",
            "fax_number": "225-412-0342",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8387 Newfield Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "LA",
            "postal_code": "707553605",
            "country_code": "US",
            "telephone_number": "225-412-0202",
            "fax_number": "225-412-0366",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "630 N Vaughan Dr",
            "address_purpose": "LOCATION",
            "city": "Brusly",
            "state": "LA",
            "postal_code": "707192217",
            "country_code": "US",
            "telephone_number": "225-344-0008",
            "fax_number": "225-343-0626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Roberts Dr Ste H",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707602661",
            "country_code": "US",
            "telephone_number": "225-618-7800",
            "fax_number": "225-238-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 Pointe Coupee Rd",
            "address_purpose": "LOCATION",
            "city": "New Roads",
            "state": "LA",
            "postal_code": "707604317",
            "country_code": "US",
            "telephone_number": "225-638-3767",
            "fax_number": "225-638-4058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6450 La Highway 1 Ste B",
            "address_purpose": "LOCATION",
            "city": "Batchelor",
            "state": "LA",
            "postal_code": "707153212",
            "country_code": "US",
            "telephone_number": "225-618-5015",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13770 Hwy 77",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "LA",
            "postal_code": "70772",
            "country_code": "US",
            "telephone_number": "225-687-5400",
            "fax_number": "225-442-3107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE-CIRCELLO",
        "first_name": "KRYSTLE",
        "middle_name": "DANELLE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-02",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "302202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2426982",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marina Brynn Doucet, PA
• Charlotte Marie Goudeau, LM, CPM
• Innis Community Health Center, Inc (Arbor Family Pharmacy - Maringouin)

• Medical Physician Assistant in Maringouin, LA
• Providers in Maringouin, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; 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.