Individual provider Active NPI

Craig Jason Nicholson-Uhl, NP

  • Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1447488630
Registry record updated Jan 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP05817 Issued in LA
Practice address
4500 10TH St
Marrero, LA 70072-3122
Phone
(504) 349-6352
Fax
(504) 349-6356
NPI assigned
Jun 25, 2009
Last updated
Jan 17, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2014

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 AP05817 LA Primary

Addresses

Primary practice location

4500 10TH St
Marrero, LA 70072-3122

Mailing address

4500 10TH St
Marrero, LA 70072-3122
Phone (504) 349-6352

Other identifiers 2

IdentifierTypeStateIssuer
1885215MedicaidLA
AP05817OtherLALICENSE

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
I20090929000284 LA Practitioner - Nurse Practitioner 1456407725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Orleans Physician Services IncGroup PAC ID 5294057824, 177 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3147
Phone (504) 349-1656

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05817LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc Nurse Practitioner CurrentSince May 2, 2018 Accepting new patients

Locations

2845 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-6930

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S250
Marrero, LA 70072
Phone (504) 347-5511

4513 Westbank Expy
Marrero, LA 70072
Phone (504) 349-6360

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.

Hospital & facility affiliations 1

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": "1245888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389916800000",
    "number": "1447488630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 10TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723122",
            "telephone_number": "504-349-6352",
            "fax_number": "504-349-6356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 10TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723122",
            "telephone_number": "504-349-6352",
            "fax_number": "504-349-6356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON-UHL",
        "first_name": "CRAIG JASON",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-25",
        "last_updated": "2014-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP05817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1885215",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP05817",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.