Lake Crescent Health LLC
NPI 1255156113ActiveOrganization· Nurse Practitioner, Family· Baton Rouge, LA
Nurse Practitioner, Family in Baton Rouge, Louisiana, registered in NPPES in November 2024. The authorized official on file is Lakeisha Mack Long, FNP-BC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1255156113 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 18, 2024 |
| Last updated in NPPES | Dec 3, 2025 |
| Certified by provider | Dec 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA) |
|---|
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