Active NPI
Micah Boyett Pilcher, C.P.N.P.
- Pediatric Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP07029
- Practice address
- 2829 Youree Dr Ste 1
Shreveport, LA 71104-3640 - Phone
- (318) 402-0131
- Fax
- (318) 409-0171
- NPI assigned
- Sep 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP07029 | LA | Primary |
Addresses
Primary practice location
2829 Youree Dr Ste 1
Shreveport, LA 71104-3640
Mailing address
2787 Bradshaw Rd
Grand Cane, LA 71032-6076
Phone (318) 469-3083
Other practice location 1
3041 Dr Martin Luther King Dr
Shreveport, LA 71107-4705
Phone (318) 227-3350
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP07029 | Other | LA | APRN |
| TPAN2520 | Other | FL | APRN |
| 1155694 | Other | TX | APRN |
| 2314122 | Medicaid | LA |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Current | Accepting new patients | |
| David Raines Community Health Center, Inc. | Current | Accepting new patients | |
| David Raines Community Health Center, Inc | Current | Accepting new patients | |
| C H Wilkinson Physician Network | Nurse Practitioner | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients |
Locations
777 Bearkat Dr
Bossier City, LA 71111
Phone (318) 723-7242
1514 Doctors Dr
Bossier City, LA 71111
Phone (318) 549-2500
2401 Old Minden Rd
Bossier City, LA 71112
Phone (318) 723-7242
12763 Lay St
Gilliam, LA 71029
Phone 31822733503170
1953 Main St
Haynesville, LA 71038
Phone (318) 227-3350
12201 Mansfield Rd
Keithville, LA 71047
Phone (318) 364-2742
128 Homer Rd
Minden, LA 71055
Phone (318) 377-1545
1549 E 70th St
Ste 300
Shreveport, LA 71105
Phone (318) 300-3898
4331 Henry St
Shreveport, LA 71109
Phone (318) 364-2300
1 Saint Mary Pl
Shreveport, LA 71101
Phone (318) 681-4500
3041 Dr Martin Luther King Dr
Shreveport, LA 71107
Phone (318) 227-3350
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
9360 Woolworth Rd
Shreveport, LA 71129
Phone (318) 227-3350
7340 Wyngate Blvd
Shreveport, LA 71106
Phone (318) 686-3161
1625 David Raines Rd
Shreveport, LA 71107
Phone (318) 425-2252
9220 Ellerbe Rd
Ste 700
Shreveport, LA 71106
Phone (318) 681-5282
441 Atlantic Ave
Shreveport, LA 71105
Phone (318) 393-7019
351 Hearne Ave
Shreveport, LA 71103
Phone (318) 425-8742
3021 W 70th St
Shreveport, LA 71108
Phone (318) 227-3350
5904 W 70th St
Shreveport, LA 71129
Phone (318) 364-1750
3222 Greenwood Rd
Shreveport, LA 71109
Phone (318) 364-5170
7611 Saint Vincent Ave
Shreveport, LA 71106
Phone (318) 861-1671
401 W 70th St
Shreveport, LA 71106
Phone (318) 227-3350
919 Hidden Rdg
Irving, TX 75038
Interoperability endpoints
- https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
- micah.pilchercpnp.p1@direct.davidraineschc.nextgenshare.com
Organizations & group practices 7
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.
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1215933254
-
- Family Medicine Physician
- Irving, TX
- NPI 1457382947
LA, Nurse Practitioner
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1205721487
-
- Federally Qualified Health Center (FQHC)
- Shreveport, LA
- NPI 1104249473
-
- Orthopaedic Surgery Physician
- Corpus Christi, TX
- NPI 1750826095
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723334400000",
"number": "1619226727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2787 BRADSHAW RD",
"city": "GRAND CANE",
"state": "LA",
"postal_code": "710326076",
"telephone_number": "318-469-3083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2829 YOUREE DR STE 1",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043640",
"telephone_number": "318-402-0131",
"fax_number": "318-409-0171"
}
],
"practiceLocations": [
{
"address_1": "3041 Dr Martin Luther King Dr",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711074705",
"country_code": "US",
"telephone_number": "318-227-3350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PILCHER",
"first_name": "MICAH",
"middle_name": "BOYETT",
"name_prefix": "Mrs.",
"credential": "C.P.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-05",
"last_updated": "2024-08-11",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "AP07029",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "AP07029",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "TPAN2520",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APRN",
"identifier": "1155694",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2314122",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.