Individual provider Active NPI

Kayla Fruge Gearen, NP

  • Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1396513610
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
234350 Issued in LA
Practice address
401 Dr Michael Debakey Dr
Lake Charles, LA 70601-5864
Phone
(337) 656-7770
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 234350 LA Primary

Addresses

Primary practice location

401 Dr Michael Debakey Dr
Lake Charles, LA 70601-5864

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
I20240403004011 LA Practitioner - Nurse Practitioner 5698113058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allegiance Medical Clinic of Dequincy LLCGroup PAC ID 1850779950, 2 clinicians

Practice addresses (Care Compare)

601 W 4TH St
Dequincy, LA 70633-3301
Phone (337) 786-6161

Hospital & facility affiliations

  • Allegiance Home Health of Southwest Louisiana, LLC Home health agency, Deridder, LA, CCN 197520
  • Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Feb 28, 2024 Accepting new patients
Allegiance Medical Clinic of Dequincy LLC CurrentSince Jul 28, 2024 Accepting new patients
Ochsner Clinic LLC CurrentSince Feb 28, 2024 Accepting new patients

Locations

601 W 4th St
Dequincy, LA 70633
Phone (337) 786-6161

401 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-6100

401 Dr Michael Debakey Dr
Fl 2
Lake Charles, LA 70601

1514 Jefferson Hwy
New Orleans, LA 70121

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

Interoperability endpoints

  • Direct secure messaging: kayla.gearen.1@24793.direct.athenahealth.com

Organizations & group practices 3

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 9

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": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1396513610",
    "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": "401 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015864",
            "telephone_number": "337-656-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEAREN",
        "first_name": "KAYLA",
        "middle_name": "FRUGE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "234350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.