Individual provider Active NPI

Michelle W Dumestre, PA

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1427425107
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
102 Asma Blvd
Building 3, Suite 112
Lafayette, LA 70508-3846
Phone
(337) 504-2332
Fax
(337) 504-4748
NPI assigned
Aug 28, 2015
Last updated
Dec 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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 NU Primary

Addresses

Primary practice location

102 Asma Blvd
Building 3, Suite 112
Lafayette, LA 70508-3846

Mailing address

91 Settlers Trace Blvd
Ste 3
Lafayette, LA 70508-6090
Phone (337) 524-1700

Other identifiers 1

IdentifierTypeStateIssuer
2404687MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20230818000265 AL Practitioner - Physician Assistant 7012211436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Louisiana State University School of Medicine in Shreveport, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DCLH, Inc.Group PAC ID 8527104488, 6 clinicians

Practice addresses (Care Compare)

3415 Independence Dr
Suite 200
Birmingham, AL 35209-8314

5406 Hwy 280
Suite A100
Hoover, AL 35242-6593
Phone (205) 871-7332

Merit-based Incentive Payment System (MIPS)

Final score
90.94 of 100Reported as group
Quality
83.52
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1427425107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SETTLERS TRACE BLVD",
            "address_2": "STE 3",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086090",
            "telephone_number": "337-524-1700",
            "fax_number": "337-524-1702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 ASMA BLVD",
            "address_2": "BUILDING 3, SUITE 112",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083846",
            "telephone_number": "337-504-2332",
            "fax_number": "337-504-4748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMESTRE",
        "first_name": "MICHELLE",
        "middle_name": "W",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2404687",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.