NPIMap

Individual provider Active NPI

Noelle R Leger, PAC

  • Medical Physician Assistant
  • Lake Charles, LA
National Provider Identifier
1861701161
Registry record updated Jun 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.200371 Issued in LA
Practice address
4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169
Phone
(337) 419-1960
Fax
(337) 419-1961
NPI assigned
Oct 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200371 LA Primary

Addresses

Primary practice location

4150 Nelson Rd Ste C10
Lake Charles, LA 70605-4169

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 312-8284

Other identifiers 1

IdentifierTypeStateIssuer
2148613MedicaidLA

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
I20120402000007 LA Practitioner - Physician Assistant 1557521374 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians

Practice addresses (Care Compare)

1615 Wolf Circle
Lake Charles, LA 70605-2348
Phone (337) 312-8564

4201 Nelson Rd
Suite 100
Lake Charles, LA 70605-4117
Phone (337) 310-2273

501 Doctor Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone (337) 433-8400

Hospital & facility affiliations

  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health, LLP CurrentSince Jan 30, 2017 Accepting new patients
Imperial Health LLP CurrentSince Jan 30, 2017 Accepting new patients
Lake Charles Primary Care and Wellness Past Accepting new patients
Imperial Health LLP Past Accepting new patients
Quickcare MD LLC Past Accepting new patients

Locations

1615 Wolf Cir
Lake Charles, LA 70605
Phone (337) 312-4355

4150 Nelson Rd
Ste A3
Lake Charles, LA 70605
Phone (318) 474-0653

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

4150 Nelson Rd
Ste C10
Lake Charles, LA 70605
Phone (337) 240-7280

Interoperability endpoints

  • Direct secure messaging: noel.leger@1288.direct.myezyaccess.com

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 6

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1861701161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DR MICHAEL DEBAKEY DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015724",
            "telephone_number": "337-312-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE C10",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054169",
            "telephone_number": "337-419-1960",
            "fax_number": "337-419-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEGER",
        "first_name": "NOELLE",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2148613",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.