Individual provider Active NPI

Kristen Bice, MD

  • Dermatology Physician
  • Covington, LA
National Provider Identifier
1619339579
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
322247 Issued in LA
Practice address
714 W 16TH Ave
Covington, LA 70433-2422
Phone
(985) 893-1035
NPI assigned
Mar 22, 2016
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 322247 LA Primary

Addresses

Primary practice location

714 W 16TH Ave
Covington, LA 70433-2422

Mailing address

714 W 16TH Ave
Covington, LA 70433-2422
Phone (985) 893-1035

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200729001188 LA Practitioner - Dermatology 0345539607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Louisiana State University School of Medicine in New Orleans, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Dermatology Clinic of St. Tammany II, LLCGroup PAC ID 2769814599, 4 clinicians

Practice addresses (Care Compare)

714 W 16TH Ave
Covington, LA 70433-2422
Phone (985) 893-1035

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.47 of 100Reported as group
Quality
94.94
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions656
Removal or shaving of skin growth19
Skin biopsy212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
322247LAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Dermatology Clinic of St Tammany II, LLC CurrentSince Aug 1, 2020 Accepting new patients

Locations

714 W 16th Ave
Covington, LA 70433
Phone (985) 893-1035

Interoperability endpoints

  • Direct secure messaging: kbice@sttammany.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1619339579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W 16TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332422",
            "telephone_number": "985-893-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W 16TH AVE",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704332422",
            "telephone_number": "985-893-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICE",
        "first_name": "KRISTEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "LA",
            "license": "322247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, LA

Sources for this page

Verify at the official NPI Registry.