NPIMap

Individual provider Active NPI

Kaylie Marie Miceli, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1396284014
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09155 Issued in LA
Practice address
1415 Tulane Ave Ste 5501
New Orleans, LA 70112-2600
Phone
(985) 892-7070
Fax
(985) 892-7017
NPI assigned
Feb 14, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 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 AP09155 LA Primary

Addresses

Primary practice location

1415 Tulane Ave Ste 5501
New Orleans, LA 70112-2600

Mailing address

16065 Lamonte Dr
Hammond, LA 70403-1405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170314000085 LA Practitioner - Nurse Practitioner 9335424340 Reassigns benefits to 1 organization
I20211206000999 MS Practitioner - Nurse Practitioner 9335424340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wound Care Associates LLCGroup PAC ID 0840314548, 117 clinicians

Practice addresses (Care Compare)

13735
23 Riverbend Nursing and Rehabilitation
Belle Chasse, LA 70037-4151
Phone (985) 892-7070

16065 Lamonte Dr
Hammond, LA 70403-1405
Phone (985) 892-7070

200 Golf Course Dr
Suite M
Carriere, MS 39426-9037
Phone (985) 892-7070

20050 Crestwood Blvd
Covington, LA 70433-5207
Phone (985) 892-7070

2401 Idaho Ave
Kenner, LA 70062-5715
Phone (985) 892-7070

4720 S I 10 Service Rd W
206 Medcentris of Tulane Lakeside
Metairie, LA 70001-1240
Phone (985) 892-7070

4809 Wichers Dr
Marrero, LA 70072-3026
Phone (504) 595-3610

95 Judge Tanner Blvd
Covington, LA 70433-7500
Phone (985) 892-7070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.56 of 100Reported as group
Quality
43.22
Promoting interoperability
88
Improvement activities
40
Cost
31.99

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Associates LLC CurrentSince Feb 15, 2017 Accepting new patients

Locations

8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000

1301 Harrison St
Bogalusa, LA 70427
Phone (985) 732-1647

20050 Crestwood Blvd
#O
Covington, LA 70433
Phone (985) 867-4008

1810 EE Wallace Blvd N
Ste 2
Ferriday, LA 71334
Phone (318) 757-3648

16065 Lamonte Dr
Hammond, LA 70403
Phone (985) 956-7771

2401 Idaho Ave
Kenner, LA 70062
Phone (504) 466-0222

4720 S I 10 Svc Rd W
Ste 206
Metairie, LA 70001
Phone (504) 455-7999

1415 Tulane Ave
Ste 5501
New Orleans, LA 70112
Phone (504) 399-3605

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

1310 Gause Blvd
Ste B
Slidell, LA 70458

505 Robert Blvd
Slidell, LA 70458
Phone (910) 535-1211

200 Golf Course Dr
Ste M
Carriere, MS 39426
Phone (769) 242-3185

431 W Race St
Rolling Fork, MS 39159
Phone (662) 795-0440

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1487030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1396284014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16065 LAMONTE DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 TULANE AVE STE 5501",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122600",
            "telephone_number": "985-892-7070",
            "fax_number": "985-892-7017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICELI",
        "first_name": "KAYLIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-14",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.