Individual provider Active NPI

Micah Boyett Pilcher, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1619226727
Registry record updated Aug 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
AP07029 Issued in LA
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

Updated by the provider on Aug 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AP07029OtherLAAPRN
TPAN2520OtherFLAPRN
1155694OtherTXAPRN
2314122MedicaidLA

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
I20171110000508 LA Practitioner - Nurse Practitioner 3678839438 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 Accepting new patients
David Raines Community Health Center, Inc CurrentSince Jul 12, 2021 Accepting new patients
C H Wilkinson Physician Network CurrentSince Nov 13, 2017 Accepting new patients
David Raines Community Health Center, Inc. CurrentSince Jul 12, 2021 Accepting new patients
David Raines Community Health Center, Inc Current Accepting new patients
C H Wilkinson Physician Network Nurse Practitioner CurrentSince Nov 13, 2017 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 1, 2020 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

  • FHIR API: https://api.platform.athenahealth.com/996/brand/1/csg/213/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.