Active NPI
Michelle W Dumestre, PA
- Physician Assistant
- Lafayette, LA
National Provider Identifier
1427425107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2404687 | Medicaid | LA |
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
Enrollment records 1
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
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 100
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.