Mrs Laurie A Incledon, WHNP, CNM - Medicare Nurse Practitioner in Live Oak, TX

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Mrs Laurie A Incledon, WHNP, CNM is a medicare enrolled "Nurse Practitioner - Women's Health" in Live Oak, Texas. Her current practice location is 12881 N Ih 35, Live Oak, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 742-6555.

Mrs Laurie A Incledon is licensed to practice in Texas (license number 517125) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1467708933.

Contact Information

Mrs Laurie A Incledon, WHNP, CNM
12881 N Ih 35,
Live Oak, TX 78233-2966
(210) 742-6555
Not Available

Map and Direction




Provider's Profile

Full NameMrs Laurie A Incledon
GenderFemale
SpecialityNurse Practitioner - Women's Health
Location12881 N Ih 35, Live Oak, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467708933
  • Provider Enumeration Date: 08/01/2012
  • Last Update Date: 06/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7012151442
  • Enrollment ID: I20130924000964

Medical Identifiers

Medical identifiers for Mrs Laurie A Incledon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467708933NPI-NPPES
324025102OtherTXCSHCN
324025101MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife AP107830 (Texas)Secondary
363LW0102XNurse Practitioner - Women's Health 517125 (Texas)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Laurie A Incledon allows following entities to bill medicare on her behalf.
Entity NameObhg Texas Holdings Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083917769
PECOS PAC ID: 3577713072
Enrollment ID: O20121018000279
Entity NameHillside Primary Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205349040
PECOS PAC ID: 0648530386
Enrollment ID: O20180129000878

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Laurie A Incledon is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Laurie A Incledon, WHNP, CNM
12881 N Ih 35,
Live Oak, TX 78233-2966

Ph: (210) 742-6555		Mrs Laurie A Incledon, WHNP, CNM
12881 N Ih 35,
Live Oak, TX 78233-2966

Ph: (210) 742-6555

Reviews and Comments


Nurse Practitioner Nurses in Live Oak, TX

Joni Maxwell,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12881 N Ih 35, Live Oak, TX 78233
Phone: 210-742-6555    
Sydney Berry, APRN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12881 N Ih 35, Live Oak, TX 78233
Phone: 210-742-6555    Fax: 224-623-0079
Dr. Leslie Michelle Dubois, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12702 Toepperwein Rd Ste 201, Live Oak, TX 78233
Phone: 210-701-0690    
Kimberly Zickafoose, WHNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12602 Toepperwein Rd Ste 208, Live Oak, TX 78233
Phone: 210-878-0090    
Dr. Nikki Rose Arcangel Angeles, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12709 Toepperwein Rd, Live Oak, TX 78233
Phone: 210-967-0096    
Francine Chanel Real, APRN, PNP-PC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7939 Pat Booker Rd, Live Oak, TX 78233
Phone: 210-998-2410    
Jenna M Ortiz,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 12500 Judson Rd Ste 300, Live Oak, TX 78233
Phone: 210-967-0096    Fax: 210-967-0383

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.