NPIMap

Individual provider Active NPI

Shelley Boyte Maillho, FNP-C

  • Family Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1770172967
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218227 Issued in LA
Practice address
58515 Pearl Acres Rd
Slidell, LA 70461-5423
Phone
(985) 641-8982
NPI assigned
Jan 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 218227 LA Primary

Addresses

Primary practice location

58515 Pearl Acres Rd
Slidell, LA 70461-5423

Mailing address

227 Fayedaye Dr
Madisonville, LA 70447-3177
Phone (225) 955-5381

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL AthenaHealth Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210224000132 LA Practitioner - Nurse Practitioner 3173938271 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Digestive Disease Consultants, PLLCGroup PAC ID 3375531379, 616 clinicians

Practice addresses (Care Compare)

131 Cherokee Rose LN
Covington, LA 70433-7244
Phone (985) 871-1721

Hospital & facility affiliations

  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Texas Digestive Disease Consultants PLLC Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
Gastroenterology Group, LLC Single Specialty CurrentSince Apr 1, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC Single Specialty Past Accepting new patients

Locations

131 Cherokee Rose Ln
Covington, LA 70433
Phone (985) 641-8982

131 Cherokee Rose Ln
Ste B
Covington, LA 70433
Phone (504) 871-1721

233 Saint Ann Dr
Ste 4
Mandeville, LA 70471
Phone (985) 727-3936

58515 Pearl Acres Rd
Slidell, LA 70461
Phone (985) 641-8982

58515 Pearl Acres Rd
Ofc
Slidell, LA 70461
Phone (985) 641-8982

764 N Acadia Rd
Ste A
Thibodaux, LA 70301
Phone (985) 446-1958

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2822/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1770172967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 FAYEDAYE DR",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473177",
            "telephone_number": "225-955-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58515 PEARL ACRES RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615423",
            "telephone_number": "985-641-8982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAILLHO",
        "first_name": "SHELLEY",
        "middle_name": "BOYTE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "AthenaHealth",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "58515 Pearl Acres Rd",
            "city": "Slidell",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704615423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.