Individual provider Active NPI

Alisa Picou, FNP-C

  • Family Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1346705100
Registry record updated Feb 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203532 Issued in LA
Practice address
16061 Doctors Blvd
Hammond, LA 70403-1499
Phone
(985) 542-1334
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2019

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 203532 LA Primary

Addresses

Primary practice location

16061 Doctors Blvd
Hammond, LA 70403-1499

Mailing address

52212 Ditta Dr
Loranger, LA 70446-2249
Phone (985) 320-9048

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
I20200409000584 LA Practitioner - Nurse Practitioner 1153750302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northlake GastroenterologyGroup PAC ID 9234197419, 9 clinicians

Practice addresses (Care Compare)

16061 Doctors Blvd
Suite B
Hammond, LA 70403-1499
Phone (985) 542-1334

Hospital & facility affiliations

  • North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Merit-based Incentive Payment System (MIPS)

Final score
89.58 of 100Reported as group
Quality
72.72
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203532LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northlake Gastroenterology CurrentSince Nov 27, 2019 Accepting new patients

Locations

7015 Highway 190 East Service Rd
Ste 102
Covington, LA 70433
Phone (985) 542-1334

16061 Doctors Blvd
Ste B
Hammond, LA 70403
Phone (985) 542-1334

16061 Doctors Blvd
Hammond, LA 70403
Phone (985) 542-1334

Organizations & group practices 1

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 1

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1346705100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52212 DITTA DR",
            "city": "LORANGER",
            "state": "LA",
            "postal_code": "704462249",
            "telephone_number": "985-320-9048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16061 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031499",
            "telephone_number": "985-542-1334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICOU",
        "first_name": "ALISA",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "203532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.