Organization Active NPI

Axcelicare, LLC

  • Family Nurse Practitioner
  • Iowa, LA
National Provider Identifier
1740978345
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on May 1, 2023

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-CNPI 1912421553
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2281716Axcelicare, LLC621 East Miller Ave, Iowa, LA 70647Certificate of waiverMay 9, 2027

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.