Individual provider Active NPI

Danielle Elizabeth Stelly, PA-C

  • Medical Physician Assistant
  • Thibodaux, LA
National Provider Identifier
1992535678
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
343460 Issued in LA
Practice address
249 W Main St
Thibodaux, LA 70301-5430
Phone
(985) 362-2020
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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 343460 LA Primary

Addresses

Primary practice location

249 W Main St
Thibodaux, LA 70301-5430

Mailing address

147 Greenleaf Blvd
Morgan City, LA 70380-7530
Phone (985) 227-8809

Other practice location 1

1216 N Victor II Blvd Ste 500
Morgan City, LA 70380-1456
Phone (985) 412-2020

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
I20240916003978 LA Practitioner - Physician Assistant 0042751125 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Morgan City LLCGroup PAC ID 3779894092, 4 clinicians

Practice addresses (Care Compare)

1216 N Victor II Blvd
Suite 500
Morgan City, LA 70380-1456
Phone (985) 412-2020

249 W Main St
Urgent Care of Thibodaux
Thibodaux, LA 70301-5430
Phone (985) 412-2020

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Emergency Physicians Group LLC CurrentSince Nov 1, 2025 Accepting new patients
Morgan City Radiology, LLC Past Accepting new patients

Locations

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1992535678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 GREENLEAF BLVD",
            "city": "MORGAN CITY",
            "state": "LA",
            "postal_code": "703807530",
            "telephone_number": "985-227-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 W MAIN ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703015430",
            "telephone_number": "985-362-2020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1216 N Victor II Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Morgan City",
            "state": "LA",
            "postal_code": "703801456",
            "country_code": "US",
            "telephone_number": "985-412-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STELLY",
        "first_name": "DANIELLE",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "343460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.