DR. KARMYNAH MARIE WILNETTA HELAIRE MD, MPH
NPI 1205254158
Family Medicine in Bogalusa, LA

Active since March 28, 2014PECOS EnrolledAccepts Medicare Assignment
420 AVENUE F, BOGALUSA, LA 70427(504) 495-0650 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 10, 2023, Apr 24, 2020, Dec 17, 2015 (3 updates tracked since 2015).

About Dr. Karmynah Marie Wilnetta Helaire Md, Mph NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARMYNAH MARIE WILNETTA HELAIRE MD, MPH (NPI 1205254158) is an individual family medicine provider in Bogalusa, Louisiana, licensed in Louisiana (300564) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Louisiana State University School Of Medicine In New Orleans (2014).

NPPES Registry Identity

NPI1205254158
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KARMYNAH MARIE WILNETTA HELAIRECredential: MD, MPH
Location Address420 AVENUE FBogalusa, LA 70427-3634
Mailing Address420 Avenue FBogalusa, LA 70427-3634 · (985) 732-0058
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2014
Enumeration DateMarch 28, 2014
Last NPPES UpdateMay 10, 20233 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1205254158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 300564
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 300564 (LA)
420 AVENUE F, Bogalusa, LA 70427

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Karmynah Marie Wilnetta Helaire Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810116035
PECOS Enrollment IDI20190605000274
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

8

Medicare enrollment records show Karmynah Helaire reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
802 W OAK ST
Amite, LA 70422
  • Reassigned Medicare billing, Louisiana enrollment
  • 209 clinicians in this Medicare group
Family Medicine
82525 HIGHWAY 25
Folsom, LA 70437
  • Reassigned Medicare billing, Louisiana enrollment
  • 70 clinicians in this Medicare group
Emergency Medicine
229 SAINT JOHN LN
Covington, LA 70433
  • Reassigned Medicare billing, Louisiana enrollment
  • 133 clinicians in this Medicare group
Emergency Medical Services
2450 SEVERN AVE STE 205
Metairie, LA 70001
  • Reassigned Medicare billing, Louisiana enrollment
  • 176 clinicians in this Medicare group
Emergency Medicine
6569 HIGHWAY 84
Ferriday, LA 71334
  • Reassigned Medicare billing, Louisiana enrollment
  • 33 clinicians in this Medicare group
Emergency Medicine
130 HOSPITAL DR
Oakdale, LA 71463
  • Reassigned Medicare billing, Louisiana enrollment
  • 110 clinicians in this Medicare group
Emergency Medicine
240 HIGHLAND DR
Many, LA 71449
  • Reassigned Medicare billing, Louisiana enrollment
  • 126 clinicians in this Medicare group
Emergency Medicine
1635 MARVEL ST
Coushatta, LA 71019
  • Reassigned Medicare billing, Louisiana enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
147 services79 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
91 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190036
Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County
Emergency services Birthing friendly

St Tammany Parish Hospital

Acute Care Hospitals · Covington, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190045
Location1202 S Tyler StreetCovington, LA 70433 · St. Tammany County
Emergency services Birthing friendly

Riverside Medical Center

Critical Access Hospitals · Franklinton, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191313
Location1900 South Main StFranklinton, LA 70438 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70427 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
420 AVENUE F
BOGALUSA, LA 70427
Nurse Practitioner
420 AVENUE F
BOGALUSA, LA 70427
Obstetrics & Gynecology
420 AVENUE F
BOGALUSA, LA 70427
Family Medicine
420 AVENUE F
BOGALUSA, LA 70427
Family Medicine
420 AVENUE F
BOGALUSA, LA 70427
Student in an Organized Health Care Education/Training Program
420 AVENUE F
BOGALUSA, LA 70427
Psychiatry & Neurology (Psychiatry)
420 AVENUE F
BOGALUSA, LA 70427
Family Medicine
420 AVENUE F
BOGALUSA, LA 70427

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Karmynah Helaire's NPI number?

The NPI number for Karmynah Helaire is 1205254158. It was assigned to this individual provider in the NPPES registry on March 28, 2014.

Where is Karmynah Helaire located?

Karmynah Helaire practices at 420 Avenue F, Bogalusa, LA 70427. The listed phone number is (504) 495-0650.

What is Karmynah Helaire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Karmynah Helaire enrolled in Medicare?

Yes. Karmynah Helaire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Karmynah Helaire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karmynah Helaire reassigns Medicare benefits to 8 organizations: Rapid Urgent Care Inc. (Amite, LA), St. Tammany Parish Hospital Service District No 1 (Folsom, LA), Correct Care, Inc. (Covington, LA), C & M Medical Services, Inc. (Metairie, LA), Ess Of Ferriday, LLC (Ferriday, LA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karmynah Helaire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karmynah Helaire accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 2 other insurers list Karmynah Helaire as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Karmynah Helaire affiliated with any hospitals?

According to CMS data, Karmynah Helaire is affiliated with Ochsner Medical Center Acute, St Tammany Parish Hospital and Riverside Medical Center.

When was this NPI record last updated?

The NPPES record for Karmynah Helaire was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.