Hailey Marie Detillier, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

343494 Issued in LA

Practice address

465 Belle Terre Blvd
La Place, LA 70068-2437

Phone

(985) 623-2200

Fax

(985) 625-2206

NPI assigned

Aug 8, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Sports Specialists of Louisiana LLCGroup PAC ID 5991893869, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Orthopaedic Sports Specialists of Louisiana LLC

  • Orthopaedic Surgery Physician
  • Thibodaux, LA
  • NPI 1316146228
  Medicare reassignment Care Compare group NPD
• North Oaks Medical Center, LLC

  • General Acute Care Hospital
  • Hammond, LA
  • NPI 1972630705
  NPD
• Orthopaedic Sports Specialists of Louisiana, LLC

  • Orthopaedic Surgery Physician
  • Lutcher, LA
  • NPI 1720752827
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1992536403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1125",
            "city": "GRAMERCY",
            "state": "LA",
            "postal_code": "700521125",
            "telephone_number": "225-348-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 BELLE TERRE BLVD",
            "city": "LA PLACE",
            "state": "LA",
            "postal_code": "700682437",
            "telephone_number": "985-623-2200",
            "fax_number": "985-625-2206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETILLIER",
        "first_name": "HAILEY",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "343494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Department of Health and Hospitals
• Department of Health and Hospitals
• Dependable Hands Transportation LLC
• Kenneth Deruise
• Destination Transportation LLC
• Denis C Devenport Jr., M.D.
• Kimberly Dickerson
• Kimberly Desha Dickerson, RN
• Jovanna Diggs
• Diversified Health Services Inc

• Physician Assistant in La Place, LA
• Providers in La Place, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.