Individual provider Active NPI

Paulette McClain, DNP, APRN, A-GNP-C

  • Primary Care Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1477093391
Registry record updated Apr 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP09212 Issued in LA
Practice address
761 Colonial Dr
Baton Rouge, LA 70806-6512
Phone
(225) 305-7406
NPI assigned
Feb 24, 2017
Reactivated
Feb 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AP09212 LA Primary

Addresses

Primary practice location

761 Colonial Dr
Baton Rouge, LA 70806-6512

Mailing address

8786 Goodwood Blvd Ste 107
Baton Rouge, LA 70806-7917
Phone (225) 229-6356

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
I20170327002910 LA Practitioner - Nurse Practitioner 4981989373 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Rush Medical College of Rush University, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8786 Goodwood Blvd
Suite 107
Baton Rouge, LA 70806-7917
Phone (225) 250-5725

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Adult Primary Care Clinic Primary Care CurrentSince Apr 1, 2021 Accepting new patients

Locations

761 Colonial Dr
Baton Rouge, LA 70806
Phone (225) 305-7406

8786 Goodwood Blvd
Ste 107
Baton Rouge, LA 70806
Phone (225) 250-5725

6685 Sullivan Rd
Greenwell Springs, LA 70739
Phone (225) 261-7143

1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25393/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paulette.mcclain.1@25393.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650067200000",
    "number": "1477093391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8786 GOODWOOD BLVD STE 107",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708067917",
            "telephone_number": "225-229-6356",
            "fax_number": "833-913-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 COLONIAL DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066512",
            "telephone_number": "225-305-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLAIN",
        "first_name": "PAULETTE",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2022-04-16",
        "certification_date": "2022-04-16",
        "deactivation_date": "2021-01-21",
        "reactivation_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "LA",
            "license": "AP09212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.