Our Lady of the Lake Physician Group, LLC
NPI 1134152630 · Rural Health Clinic/Center · Maurepas, LA
Enrolled with Medicare as Part a Provider - Rural Health Clinic · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Our Lady of the Lake Physician Group, LLC is a Rural Health Clinic/Center organization in Maurepas, LA (NPI 1134152630).
Provider details
- NPI number
- 1134152630
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamy Richard, Vp Finance(225) 526-0121
Specialties & taxonomies
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- Our Lady of the Lake Physician Group-Riverside
Registry dates
- Enumerated
- 2006-07-08
- Last updated
- 2017-03-01
Frequently asked questions
- What is Our Lady of the Lake Physician Group, LLC's NPI number?
- Our Lady of the Lake Physician Group, LLC's National Provider Identifier (NPI) is 1134152630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Our Lady of the Lake Physician Group, LLC?
- Our Lady of the Lake Physician Group, LLC is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Our Lady of the Lake Physician Group, LLC located?
- Our Lady of the Lake Physician Group, LLC's practice location on file with NPPES is 18740 Highway 22, Maurepas, LA 70449-3018.
- What is Our Lady of the Lake Physician Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Our Lady of the Lake Physician Group, LLC is (225) 698-3435.
- Does Our Lady of the Lake Physician Group, LLC accept Medicare?
- Our Lady of the Lake Physician Group, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Our Lady of the Lake Physician Group, LLC?
- The authorized official listed on Our Lady of the Lake Physician Group, LLC's NPPES record is Jamy Richard, Vp Finance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Our Lady of the Lake Physician Group, LLC's NPI active?
- Yes — Our Lady of the Lake Physician Group, LLC's NPI (1134152630) is active in the NPPES registry as of the last update on 2017-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.