NPIMap

Individual provider Active NPI

Hascal Bossier Blalock, PA-C

  • Physician Assistant
  • Alexandria, LA
National Provider Identifier
1427417765
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200890 Issued in LA
Practice address
3330 Masonic Drive
Alexandria, LA 71301-3899
Phone
(318) 448-6700
Fax
(318) 448-4925
NPI assigned
Feb 15, 2016
Last updated
Jun 24, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200890 LA Primary

Addresses

Primary practice location

3330 Masonic Drive
Alexandria, LA 71301-3899

Mailing address

3330 Masonic Drive
Alexandria, LA 71301-3899
Phone (318) 448-6700

Other identifiers 1

IdentifierTypeStateIssuer
2417835MedicaidLA

Other names 1

  • Ms. Hascal Allen Bossier Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160329000484 LA Practitioner - Physician Assistant 6002113594 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid Louisiana Surgical SpecialistsGroup PAC ID 4284610080, 9 clinicians

Practice addresses (Care Compare)

3311 Prescott Rd
Suite 201
Alexandria, LA 71301-3983
Phone (318) 442-6767

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200890LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Health Central Louisiana CurrentSince Jun 1, 2016 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

3330 Masonic Dr
Alexandria, LA 71301
Phone (318) 448-6917

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

Interoperability endpoints

  • Direct secure messaging: hblalock418024@christushealth.direct-ci.net

Organizations & group practices 7

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1427417765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013899",
            "telephone_number": "318-448-6700",
            "fax_number": "318-448-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 MASONIC DRIVE",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013899",
            "telephone_number": "318-448-6700",
            "fax_number": "318-448-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLALOCK",
        "first_name": "HASCAL",
        "middle_name": "BOSSIER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-15",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2417835",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HASCAL",
            "last_name": "BOSSIER",
            "middle_name": "ALLEN",
            "prefix": "MS.",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.