Active NPI
Stacey B Molinere, F.N.P.
- Psychiatric/Mental Health Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP03857
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149284 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP03857 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Central la Human Services Authority | Current | Accepting new patients | |
| South Central la Human Services Authority | Current | Accepting new patients | |
| South Central la Human Services Authority | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Houma, LA
- NPI 1104250265
LA
-
- Rural Health Clinic/Center
- Cut Off, LA
- NPI 1902846603
LA
-
- Federally Qualified Health Center (FQHC)
- Crowley, LA
- NPI 1336383033
-
- Federally Qualified Health Center (FQHC)
- Lafayette, LA
- NPI 1376725952
-
- Federally Qualified Health Center (FQHC)
- Lake Charles, LA
- NPI 1720014186
-
- Federally Qualified Health Center (FQHC)
- Oberlin, LA
- NPI 1942645007
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgan City, LA
- NPI 1124452289
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Raceland, LA
- NPI 1891129151
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.