Individual provider Active NPI

Erin Fruge Hill, PA

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1962655043
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200016RX Issued in LA
Practice address
120 Boucher St
Lafayette, LA 70504-0001
Phone
(337) 482-5464
Fax
(337) 482-6428
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200016RX LA Primary

Addresses

Primary practice location

120 Boucher St
Lafayette, LA 70504-0001

Mailing address

200 Petroleum Dr
Lafayette, LA 70508-3880
Phone (337) 322-4228

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
I20050613000087 LA Practitioner - Physician Assistant 3274577168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jonathan Brent Prather, MD, ApmcGroup PAC ID 0345250213, 2 clinicians

Practice addresses (Care Compare)

200 Petroleum Dr
Lafayette, LA 70508-3880
Phone (337) 988-9999

2949 S Union St
Opelousas, LA 70570-5740
Phone (337) 948-9606

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.200016RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kenneth L Entes MD Apmc Past Accepting new patients
University of Louisiana at Lafayette Past Accepting new patients

Organizations & group practices 3

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": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487116800000",
    "number": "1962655043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PETROLEUM DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083880",
            "telephone_number": "337-322-4228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BOUCHER ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705040001",
            "telephone_number": "337-482-5464",
            "fax_number": "337-482-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "ERIN",
        "middle_name": "FRUGE",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2017-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200016RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.