Active NPI
Craig Jason Nicholson-Uhl, NP
- Nurse Practitioner
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP05817
- 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, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1885215 | Medicaid | LA | |
| AP05817 | Other | LA | LICENSE |
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
Enrollment records 1
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
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 100
- Quality
- 68.02
- Improvement activities
- 40
- Cost
- 76.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP05817 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Orleans Physician Services Inc | Nurse Practitioner | Current | 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.
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1396169678
Nurse Practitioner
-
- Internal Medicine Physician
- Marrero, LA
- NPI 1417966193
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Jefferson Medical Center
- General Acute Care Hospital
- Marrero, LA
- NPI 1265437644
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2014; 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.