Nicole M. Malley, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

311571 Issued in LA

Practice address

863 Tunica Dr E
Marksville, LA 71351-3076

Phone

(318) 717-1175

Fax

(210) 924-4113

NPI assigned

Jun 3, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, LA2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations (25 of 35)

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.

• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • New Iberia, LA
  • NPI 1699049262
  Medicare reassignment Care Compare group NPD
• Neil Halim Fairfield Family Clinic

  • Family Medicine Physician
  • Shreveport, LA
  • NPI 1104025121
  Medicare reassignment
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment
• Hulin Urgent Care Services LLC

  • Urgent Care Clinic/Center
  • Rayne, LA
  • NPI 1750055141
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• Ahs Walk in Clinic Inc

  • Urgent Care Clinic/Center
  • Youngsville, LA
  • NPI 1639234495
  NPD (past)

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

{
    "created_epoch": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1649564964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 PETROLEUM PKWY",
            "city": "BROUSSARD",
            "state": "LA",
            "postal_code": "705188020",
            "telephone_number": "337-465-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 TUNICA DR E",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713513076",
            "telephone_number": "318-717-1175",
            "fax_number": "210-924-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALLEY",
        "first_name": "NICOLE",
        "middle_name": "M.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-03",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA7387",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "311571",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286422501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Louisiana CVS Pharmacy, L.L.C.
• Louisiana Health Care Practitioners LLC
• Louisiana Kidney Specialists
• Loving Hearts Caring Hands
• Susan Lafargue Maillet, MHC COUNSELOR
• Marksville Chiropractic Clinic
• Marksville Emergency Physicians, Inc
• Marksville Hospitalist Physicians, Inc
• Cassidy Layne Martin
• Darien Janae Maten

• Physician Assistant in Marksville, LA
• Providers in Marksville, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.