Individual provider Active NPI

Madison Mizell, PA-C

  • Physician Assistant
  • New Orleans, LA
National Provider Identifier
1396423968
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
338343 Issued in LA
Practice address
111 Allen Toussaint Blvd Ste C
New Orleans, LA 70124-2588
Phone
(504) 286-2001
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X
Physician Assistant 363A00000X 338343 LA Primary

Addresses

Primary practice location

111 Allen Toussaint Blvd Ste C
New Orleans, LA 70124-2588

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

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
I20231017000123 LA Practitioner - Physician Assistant 0143675751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
PCP Urgent Care Holdings LLCGroup PAC ID 5092016816, 47 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

111 C Robert E Lee Blvd
New Orleans, LA 70124-2534
Phone (504) 286-2004

1111 Greengate Dr
Suite B
Covington, LA 70433-5269
Phone (504) 831-3112

12895 Hwy 90
Suite H
Luling, LA 70070-2249
Phone (985) 331-9400

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3000

1516 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-3470

1706 SW Railroad Ave
Suite a
Hammond, LA 70403-6146
Phone (985) 826-7782

2215 Veterans Memorial Blvd
Metairie, LA 70002-6322
Phone (504) 838-3524

2840 Florida St
Baton Rouge, LA 70802-2721
Phone (225) 224-2402

3417 Williams Blvd
Kenner, LA 70065-3725
Phone (504) 461-9660

4100 Canal St
New Orleans, LA 70119-5941
Phone (504) 831-3112

71380 Hwy 21
Covington, LA 70433-7245
Phone (985) 661-3534

900 Magazine St
New Orleans, LA 70130-3814
Phone (504) 552-2433

9605 Jefferson Hwy
River Ridge, LA 70123-2550
Phone (504) 739-9494

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 18, 2023 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Mar 24, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 18, 2023 Accepting new patients
PCP Urgent Care Holdings LLC CurrentSince Mar 24, 2025 Accepting new patients
Brfhh Shreveport LLC Past Accepting new patients
R.T. Royal Group LLC PastSince Jul 28, 2019 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

2840 Florida St
Baton Rouge, LA 70802
Phone (225) 224-2402

9688 Florida Blvd
Baton Rouge, LA 70815
Phone (225) 408-7587

8540 Siegen Ln
Ste B
Baton Rouge, LA 70810
Phone (225) 224-8690

8540 Siegen Ln
Ste A
Baton Rouge, LA 70810

5420 Plank Rd
Baton Rouge, LA 70805
Phone (225) 228-2452

14879 Tiger Bend Rd
Baton Rouge, LA 70817
Phone (225) 257-7782

7353 Jefferson Hwy
Baton Rouge, LA 70806
Phone (225) 442-0500

409 Oak Plaza Blvd
Brusly, LA 70719
Phone (225) 877-3700

1706 SW Railroad Ave
Ste A
Hammond, LA 70403
Phone (985) 826-7782

3417 Williams Blvd
Kenner, LA 70065
Phone (504) 461-9660

1514 Jefferson Hwy
New Orleans, LA 70121

5217 Elysian Fields Ave
New Orleans, LA 70122
Phone (504) 475-8500

17513 Old Jefferson Hwy
Prairieville, LA 70769
Phone (225) 673-7587

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

318 N Canal Blvd
Thibodaux, LA 70301
Phone (985) 446-3276

Interoperability endpoints

  • Direct secure messaging: mmizell1937930@direct.ochsner.org

Organizations & group practices 8

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": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1396423968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ALLEN TOUSSAINT BLVD STE C",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701242588",
            "telephone_number": "504-286-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZELL",
        "first_name": "MADISON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "338343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.