Stephanie Bossier, PA-C
Individual provider Active NPI Physician Assistant · Luling, LA
NPI 1821879255 · NPPES record last updated Jan 8, 2024
Key facts
- NPI
- 1821879255
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 339718 (LA)
- Practice address
- 1057 Paul Maillard Rd
Luling, LA 70070-4349 - Phone
- (985) 785-2218
- NPI assigned
- Oct 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240117002038 | LA | Practitioner - Physician Assistant | 6800248683 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 339718 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Current |
Accepting new patients | |
| Ochsner Clinic LLC | Past | Accepting new patients |
Locations
200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940
1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655
1514 Jefferson Hwy
New Orleans, LA 70121
1221 S Clearview Pkwy
New Orleans, LA 70121
Phone (504) 736-4600
141 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 447-3889
Interoperability endpoints
- sbossier2016106@direct.ochsner.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | |||
| Physician Assistant | 363A00000X | 339718 | LA | Yes |
Addresses
Primary practice location
1057 Paul Maillard Rd
Luling, LA 70070-4349
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000
Other providers in Luling, LA
- Lindsey Bienvenu
- Alexis Black
- Blair Boone Boggs
- Michele Jeanne Borey
- Toni Annette Bork
- John David Brannen
- Debra Lynn Braxton
- Nina Joelle Breakstone
- Brien Chiropractic Clinic, Inc.
- Mitchell Paul Brien
All providers in Luling, LA · Physician Assistant in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.