NPIMap

Organization Active NPI

Practicare, LLC

  • Rural Health Clinic/Center
  • Mansura, LA
National Provider Identifier
1649516261
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
PRACTICARE, LLC
Practice address
7406 Highway 1 Ste 103
Mansura, LA 71350-4230
Phone
(318) 739-0086
Fax
(877) 325-2708
NPI assigned
Dec 31, 2012
Last updated
Sep 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

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

Authorized official

Name
Julie P Ducote, NP
Title
Owner
Phone
(318) 739-0086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

7406 Highway 1 Ste 103
Mansura, LA 71350-4230

Mailing address

1102 Highway 107 S
Cottonport, LA 71327-4002
Phone (318) 739-0086

Other identifiers 1

IdentifierTypeStateIssuer
2327950MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130904000344 LA Part B Supplier - Clinic/Group Practice 2860635224 Receives reassigned benefits from 7 practitioners
Practice locations: Mansura, LA; Simmesport, LA; Plaucheville, LA; Marksville, LA; Hessmer, LA; Bunkie, LA
O20220119002179 LA Part A Provider - Rural Health Clinic 2860635224 Practice locations: Mansura, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649516261. Details of each certification follow.

Rural health clinic certification: CCN 198908

Legal name
PRACTICARE, LLC
Doing business as
FAMILY MEDICINE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Aug 5, 2022
Last certification
Aug 5, 2025
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Nov 19, 2014 in LA
Enrollment address
7406 Highway 1
Ste 103
Mansura, LA 71350-4230

National Provider Directory

National Provider Directory

Locations

7406 Highway 1
Ste 103
Mansura, LA 71350
Phone (318) 739-0086

4239 Highway 1192
Ste 100
Marksville, LA 71351
Phone (318) 253-0866

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julie a Ducote Individual 5% Or Greater Direct Ownership Interest Nov 19, 2014 100%
Operational/Managerial ControlManager Jan 1, 2022 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1649516261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 HIGHWAY 107 S",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713274002",
            "telephone_number": "318-739-0086",
            "fax_number": "855-538-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 HIGHWAY 1 STE 103",
            "city": "MANSURA",
            "state": "LA",
            "postal_code": "713504230",
            "telephone_number": "318-739-0086",
            "fax_number": "877-325-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-31",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "DUCOTE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-739-0086",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2327950",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansura, LA

Sources for this page

Verify at the official NPI Registry.