Individual provider Active NPI

Stacey B Molinere, F.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1992743892
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP03857 Issued in LA
Practice address
2000 Opelousas St
Lake Charles, LA 70601-2641
Phone
(337) 439-9983
Fax
(337) 497-2556
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP03857 LA Primary
Family Nurse Practitioner 363LF0000X AP03857 LA

Addresses

Primary practice location

2000 Opelousas St
Lake Charles, LA 70601-2641

Mailing address

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone (337) 439-9983

Other practice location 1

144 W 134th Pl
Cut Off, LA 70345-4128
Phone (985) 632-6233

Other practice location 2

13030 Highway 308
Larose, LA 70373-2001
Phone (985) 798-7000

Other identifiers 1

IdentifierTypeStateIssuer
1149284MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stacey.molinere.1@748.direct.athenahealth.com Health Information Exchange (HIE)

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
I20080220000332 LA Practitioner - Nurse Practitioner 1658455324 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Swla Center for Health Services 26 clinicians

Practice addresses (Care Compare)

2000 Opelousas St
Lake Charles, LA 70601-2641
Phone 33776994511674

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP03857LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Central la Human Services Authority Current Accepting new patients
South Central la Human Services Authority CurrentSince Apr 4, 2022 Accepting new patients
South Central la Human Services Authority CurrentSince Apr 4, 2022 Accepting new patients

Locations

158 Regal Row
Houma, LA 70360
Phone (985) 876-8889

5599 Highway 311
Houma, LA 70360
Phone (985) 857-3615

1809 W Airline Hwy
La Place, LA 70068
Phone (985) 652-8444

157 Twin Oaks Dr
Raceland, LA 70394
Phone (985) 537-6823

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHJJCA

Organizations & group practices 8

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1992743892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983",
            "fax_number": "337-497-2556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OPELOUSAS ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706012641",
            "telephone_number": "337-439-9983",
            "fax_number": "337-497-2556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "144 W 134th Pl",
            "address_purpose": "LOCATION",
            "city": "Cut Off",
            "state": "LA",
            "postal_code": "703454128",
            "country_code": "US",
            "telephone_number": "985-632-6233",
            "fax_number": "985-632-7526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13030 Highway 308",
            "address_purpose": "LOCATION",
            "city": "Larose",
            "state": "LA",
            "postal_code": "703732001",
            "country_code": "US",
            "telephone_number": "985-798-7000",
            "fax_number": "985-798-7021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLINERE",
        "first_name": "STACEY",
        "middle_name": "B",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP03857",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03857",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149284",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacey.molinere.1@748.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "EHR address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "144 W 134th Pl",
            "city": "Cut Off",
            "state": "LA",
            "country_code": "US",
            "postal_code": "703454128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.