Individual provider Active NPI

Nicole Culbert Miles, FNP-BC

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1356771240
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07506 Issued in LA
Practice address
5428 Odonovan Dr Ste C
Baton Rouge, LA 70808-4387
Phone
(225) 300-1076
Fax
(225) 300-1080
NPI assigned
Nov 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 AP07506 LA Primary

Addresses

Primary practice location

5428 Odonovan Dr Ste C
Baton Rouge, LA 70808-4387

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0001

Other practice location 1

8595 Picardy Ave
Suite 100
Baton Rouge, LA 70809-3670
Phone (225) 763-4900

Other identifiers 1

IdentifierTypeStateIssuer
2351923MedicaidLA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address nmiles1337849@direct.casso.us.com Direct
Direct Messaging Address nmiles1337849@direct.casso.us.com Direct

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
I20140103000150 LA Practitioner - Nurse Practitioner 1052549730 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfair Physician Services, LLCGroup PAC ID 7618225814, 39 clinicians

Practice addresses (Care Compare)

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

Hospital & facility affiliations

  • Ochsner Medical Center - Baton Rouge Hospital, Baton Rouge, LA, CCN 190202

Merit-based Incentive Payment System (MIPS)

Final score
78.3 of 100Reported as group
Quality
57.21
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
79.03
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Emergency Group LLC Nurse Practitioner CurrentSince May 30, 2017 Accepting new patients
Baton Rouge General Medical Center Nurse Practitioner CurrentSince Mar 20, 2023 Accepting new patients
Mayfair Physician Services, LLC Nurse Practitioner CurrentSince Jul 3, 2018 Accepting new patients
Baton Rouge General Medical Center Current Accepting new patients
Baton Rouge General Medical Center Past Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

8490 Picardy Ave
Ste 200
Baton Rouge, LA 70809
Phone (225) 237-1754

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

8585 Picardy Ave
Ste 318
Baton Rouge, LA 70809
Phone (225) 333-3800

8595 Picardy Ave
Ste 100
Baton Rouge, LA 70809
Phone (225) 763-4900

8585 Picardy Ave
Ste 510
Baton Rouge, LA 70809
Phone (225) 218-6387

8585 Picardy Ave
Ste 313
Baton Rouge, LA 70809
Phone (225) 381-2755

4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

Interoperability endpoints

  • Direct secure messaging: nmiles1337849@direct.casso.us.com

Organizations & group practices 6

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": "1384387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1356771240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0001",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5428 ODONOVAN DR STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084387",
            "telephone_number": "225-300-1076",
            "fax_number": "225-300-1080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8595 Picardy Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708093670",
            "country_code": "US",
            "telephone_number": "225-763-4900",
            "fax_number": "225-763-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILES",
        "first_name": "NICOLE",
        "middle_name": "CULBERT",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-14",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2351923",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmiles1337849@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nmiles1337849@direct.casso.us.com",
            "address_1": "5428 ODonovan Dr Ste C",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nmiles1337849@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "nmiles1337849@direct.casso.us.com",
            "address_1": "8595 Picardy Ave",
            "address_2": "Suite 100",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708093670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.