Nicholas C Stevens, PHD MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

015218 Issued in LA

Practice address

42388 Pelican Professional Park
Hammond, LA 70403

Phone

(985) 542-6251

Fax

(985) 945-2386

NPI assigned

Jul 12, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Louisiana State University School of Medicine in New Orleans, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Internal Medicine Clinic of Tangipahoa, LLCGroup PAC ID 9234034778, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hood Memorial Hospital Hospital, Amite, LA, CCN 191309

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHBICA

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.

• Internal Medicine Clinic of Tangipahoa, LLC

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1588678494
  Medicare reassignment Care Compare group NPD Authorized official
• Louisiana Hyperbarics

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Hammond, LA
  • NPI 1487002150

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hood Memorial Hospital

  • Psychiatric Hospital Unit
  • Amite, LA
  • NPI 1649460122
  Care Compare affiliation
• Hospital Service District 2 of the Parish of Tangipahoa State of la.

  dba Hood Memorial Hospital

  • Critical Access Hospital
  • Amite, LA
  • NPI 1003925959
  Care Compare affiliation

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1477551612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1799",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704041799",
            "telephone_number": "985-542-6251",
            "fax_number": "985-945-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42388 PELICAN PROFESSIONAL PARK",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-542-6251",
            "fax_number": "985-945-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "NICHOLAS",
        "middle_name": "C",
        "credential": "PHD MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "015218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE OF LA",
            "identifier": "2705080004",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198706",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "4250496",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Robert Raymond
• Alice E Stevens, R.N.F.A.
• Brandi Monae Stevens
• Jolene L Stevens, SLP
• Madeliene H. Stevens, CST,CFA
• Bailee Stewart
• Cierra Trachell Stewart
• Stevie Jo Stillinger
• James Harold Stillwell III
• Shaletha Stone

• Internal Medicine Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.

Verify at the official NPI Registry.