Active NPI
Axcelicare, LLC
- Family Nurse Practitioner
- Iowa, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- AXCELICARE, LLC
- Practice address
- 621 E Miller Ave
Iowa, LA 70647-4008 - Phone
- (337) 336-8155
- Fax
- (877) 409-3286
- NPI assigned
- May 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jaylin Barkley Miller, DNP, APRN, FNP-C
- Title
- FNP/Owner
- Phone
- (337) 336-8155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
621 E Miller Ave
Iowa, LA 70647-4008
Mailing address
621 E Miller Ave
Iowa, LA 70647-4008
Phone (337) 336-8155
Other names 1
- Axcelicare, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230612001895 | LA | Part B Supplier - Clinic/Group Practice | 4082071758 |
Receives reassigned benefits from 2 practitioners Practice locations: Iowa, LA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D2281716 | Axcelicare, LLC | Certificate of waiver | May 9, 2027 |
National Provider Directory
National Provider DirectoryLocations
621 E Miller Ave
Iowa, LA 70647
Phone (337) 336-8155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Iowa, LA
- NPI 1912421553
Family, LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682899200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1740978345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "621 E MILLER AVE",
"city": "IOWA",
"state": "LA",
"postal_code": "706474008",
"telephone_number": "337-336-8155",
"fax_number": "877-409-3286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "621 E MILLER AVE",
"city": "IOWA",
"state": "LA",
"postal_code": "706474008",
"telephone_number": "337-336-8155",
"fax_number": "877-409-3286"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AXCELICARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-01",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "JAYLIN",
"authorized_official_middle_name": "BARKLEY",
"authorized_official_title_or_position": "FNP/OWNER",
"authorized_official_telephone_number": "337-336-8155",
"authorized_official_credential": "DNP, APRN, FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Axcelicare, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Iowa, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.