Individual provider Active NPI

Maureen Olivier, MD

  • Dermatology Physician
  • Lake Charles, LA
National Provider Identifier
1407906928
Registry record updated May 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
015309 Issued in LA
Practice address
4150 Nelson Rd
Building E Suite 1
Lake Charles, LA 70605-4148
Phone
(337) 474-1386
Fax
(337) 474-2845
NPI assigned
Jan 10, 2007
Last updated
May 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 015309 LA Primary

Addresses

Primary practice location

4150 Nelson Rd
Building E Suite 1
Lake Charles, LA 70605-4148

Mailing address

4150 Nelson Rd
Building E Suite 1
Lake Charles, LA 70605-4148
Phone (337) 474-1386

Other identifiers 2

IdentifierTypeStateIssuer
1300586MedicaidLA
015309OtherLASTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address molivier@directaddress.net Health Information Exchange (HIE)

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000022 LA Practitioner - Dermatology 6103973664 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Charles, LA

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tulane University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4150 Nelson Rd
Suite E1
Lake Charles, LA 70605-4133
Phone (337) 474-1386

4150 Nelson Rd
Suite E1
Lake Charles, LA 70605-4140

Merit-based Incentive Payment System (MIPS)

Final score
98.88 of 100Reported as group
Quality
97.76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1043
Removal or shaving of skin growth1-10
Skin biopsy168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
015309LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maureen a Olivier M.D. Dermatology CurrentSince Feb 1, 2016 Accepting new patients
Imperial Health LLP Past Accepting new patients

Locations

4150 Nelson Rd
Ste E1
Lake Charles, LA 70605
Phone (337) 474-1386

Interoperability endpoints

  • Direct secure messaging: molivier@directaddress.net

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588723200000",
    "number": "1407906928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BUILDING E SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-474-1386",
            "fax_number": "337-474-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD",
            "address_2": "BUILDING E SUITE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-474-1386",
            "fax_number": "337-474-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVIER",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2020-05-06",
        "certification_date": "2020-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "015309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1300586",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "015309",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "molivier@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "direct message",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "xml",
            "address_1": "4150 Nelson Rd",
            "address_2": "Building E Suite 1",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706054148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.