Individual provider Active NPI

Rachel Demanuelle, PA-C

  • Physician Assistant
  • New Orleans, LA
National Provider Identifier
1760001135
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3434 Prytania St Ste 420
New Orleans, LA 70115-3502
Phone
(504) 475-1000
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X LA Primary

Addresses

Primary practice location

3434 Prytania St Ste 420
New Orleans, LA 70115-3502

Mailing address

429 34TH St
New Orleans, LA 70124-1411
Phone (225) 717-4718

Other practice location 1

1401 Foucher St
New Orleans, LA 70115-3515
Phone (504) 897-7011

Other practice location 2

429 34th St
New Orleans, LA 70124-1411
Phone (225) 717-4718

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200901002588 LA Practitioner - Physician Assistant 9234556523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Reconstructive Care LLCGroup PAC ID 4284947193, 2 clinicians

Practice addresses (Care Compare)

3900 Veterans Memorial Blvd
Suite 200
Metairie, LA 70002-5634
Phone (504) 455-1000

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 2

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.

Hospital & facility affiliations 3

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1760001135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 34TH ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701241411",
            "telephone_number": "225-717-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 PRYTANIA ST STE 420",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701153502",
            "telephone_number": "504-475-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Foucher St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701153515",
            "country_code": "US",
            "telephone_number": "504-897-7011",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 34th St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701241411",
            "country_code": "US",
            "telephone_number": "225-717-4718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMANUELLE",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.