Individual provider Active NPI

Mickey Ross Duos, APRN, BC

  • Adult Health Nurse Practitioner
  • Alexandria, LA
National Provider Identifier
1922291327
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05285 Issued in LA
Practice address
3311 Prescott Rd Ste 100
Alexandria, LA 71301-3917
Phone
(318) 442-3384
Fax
(318) 442-3385
NPI assigned
Aug 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP05285 LA Primary

Addresses

Primary practice location

3311 Prescott Rd Ste 100
Alexandria, LA 71301-3917

Mailing address

3311 Prescott Rd Ste 100
Alexandria, LA 71301-3917
Phone (318) 442-3384

Other identifiers 1

IdentifierTypeStateIssuer
1023671MedicaidLA

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
I20070921000551 LA Practitioner - Nurse Practitioner 3274627195 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heinen Medical Clinics LLCGroup PAC ID 9739422304, 10 clinicians
Vital Healthcare Solutions LLCGroup PAC ID 9133598055, 14 clinicians

Practice addresses (Care Compare)

151 Leon Ave
Suite B
Eunice, LA 70535-3938
Phone (337) 457-8166

724 W Magnolia St
Ville Platte, LA 70586-4320
Phone (337) 506-2294

825 W Lasalle St
Heinen Medical Ville Platte
Ville Platte, LA 70586-3129
Phone (337) 426-1966

Hospital & facility affiliations

  • Acadian Medical Center Hospital, Eunice, LA, CCN 190318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05285LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heinen Medical Clinics LLC CurrentSince Apr 25, 2023 Accepting new patients
Heinen Medical Clinics LLC CurrentSince Apr 25, 2023 Accepting new patients
Heinen Medical Clinics LLC Current Accepting new patients
Heinen Medical VP LLC Past Accepting new patients

Locations

151 Leon Ave
Ste B
Eunice, LA 70535
Phone (337) 290-0199

825 W Lasalle St
Ville Platte, LA 70586
Phone (337) 363-5521

Organizations & group practices 5

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 1

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": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1922291327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013917",
            "telephone_number": "318-442-3384",
            "fax_number": "318-442-3385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 100",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013917",
            "telephone_number": "318-442-3384",
            "fax_number": "318-442-3385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUOS",
        "first_name": "MICKEY",
        "middle_name": "ROSS",
        "credential": "APRN, BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, LA

Sources for this page

Verify at the official NPI Registry.