Individual provider Active NPI

Jocelyn H Larocque, D.O.

  • Dermatology Physician
  • Charlotte, NC
National Provider Identifier
1831178631
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2005-00628 Issued in NC
Practice address
15830 Ballantyne Medical PL
Ste 100
Charlotte, NC 28277-4653
Phone
(704) 341-0090
Fax
(704) 341-0092
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 2005-00628 NC Primary
Procedural Dermatology Physician 207NS0135X 200500628 NC

Addresses

Primary practice location

15830 Ballantyne Medical PL
Ste 100
Charlotte, NC 28277-4653

Mailing address

15830 Ballantyne Medical PL
Ste 100
Charlotte, NC 28277-4653
Phone (704) 341-0090

Other identifiers 2

IdentifierTypeStateIssuer
P0031039OtherNCMEDICARE RAILROAD
5903749MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060209000539 NC Practitioner - Dermatology 9436164696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Care of Charlotte PAGroup PAC ID 7911906151, 10 clinicians

Practice addresses (Care Compare)

15830 Ballantyne Medical PL
Suite 100
Charlotte, NC 28277-0762
Phone (704) 341-0090

Merit-based Incentive Payment System (MIPS)

Final score
85.18 of 100Reported as individual
Quality
73.05
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision20
Removal of skin lesions611
Removal or shaving of skin growth1-10
Skin biopsy177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2005-00628NCMDDermatology Physician
200500628NCMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatologic Surgery of the Carolinas LLC Current Accepting new patients
Dermatology Care of Charlotte, PA Dermatology CurrentSince Nov 1, 2011 Accepting new patients

Locations

15830 Ballantyne Medical Pl
Ste 100
Charlotte, NC 28277
Phone (704) 341-0090

Interoperability endpoints

  • Direct secure messaging: jocelyn-larocque@dermcarecharlotte.e-mdsdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGEAA

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.

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1831178631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774653",
            "telephone_number": "704-341-0090",
            "fax_number": "704-341-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15830 BALLANTYNE MEDICAL PL",
            "address_2": "STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774653",
            "telephone_number": "704-341-0090",
            "fax_number": "704-341-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROCQUE",
        "first_name": "JOCELYN",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2005-00628",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NC",
            "license": "200500628",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P0031039",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5903749",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.