Active NPI
Micah Poole
- Physician Assistant
- Pineville, LA
National Provider Identifier
1447844477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 328815
- Practice address
- 219 Philadelphia Rd
Pineville, LA 71360-9136 - Phone
- (318) 452-2988
- NPI assigned
- Feb 20, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 328815 | LA | Primary |
Addresses
Primary practice location
219 Philadelphia Rd
Pineville, LA 71360-9136
Mailing address
219 Philadelphia Rd
Pineville, LA 71360-9136
Phone (318) 452-2988
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
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Plaza PL
Minden, LA 71055-3330
Phone (866) 722-1655
211 4TH St
Alexandria, LA 71301-8421
Phone (318) 473-3000
3330 Masonic Dr
Alexandria, LA 71301-3841
Phone (318) 487-1122
3704 N Blvd
Alexandria, LA 71301-3658
Phone (318) 545-4038
4716 Collinsburg Dr
Alexandria, LA 71303-3774
Phone (337) 439-4706
Hospital & facility affiliations
- Rapides Regional Medical Center
- Christus St Frances Cabrini Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Quality
- 86.33
- Improvement activities
- 40
- Cost
- 87.82
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 328815 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Second Avenue MRI LLC | Past | Accepting new patients | |
| Louisiana Pet Imaging of Alexandria, LLC | Past | Accepting new patients |
Interoperability endpoints
- micah.poole@midstateortho.emadirect.md
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Alexandria, LA
- NPI 1033215710
-
- Critical Care Medicine (Internal Medicine) Physician
- Alexandria, LA
- NPI 1225840044
-
- Internal Medicine Physician
- Alexandria, LA
- NPI 1417738675
-
- Specialist
- Alexandria, LA
- NPI 1477580637
-
- Radiology Clinic/Center
- Alexandria, LA
- NPI 1093738478
-
- Diagnostic Radiology Physician
- Lake Charles, LA
- NPI 1629174339
Hospital & facility affiliations 21
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1023139458
Hospital
-
- Student Health Clinic/Center
- Pineville, LA
- NPI 1093836421
Hospital
-
- Student Health Clinic/Center
- Provencal, LA
- NPI 1164687307
Hospital
-
- Student Health Clinic/Center
- Natchitoches, LA
- NPI 1356462782
Hospital
-
- Student Health Clinic/Center
- Marthaville, LA
- NPI 1609031962
Hospital
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1639160799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632528000000",
"number": "1447844477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 PHILADELPHIA RD",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713609136",
"telephone_number": "318-452-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 PHILADELPHIA RD",
"city": "PINEVILLE",
"state": "LA",
"postal_code": "713609136",
"telephone_number": "318-452-2988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "MICAH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-20",
"last_updated": "2021-09-25",
"certification_date": "2021-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "328815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pineville, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.