SPINECARE MEDICAL GROUP
NPI 1467540179
Specialist in Gretna, LA

Active since October 10, 2006CLIA 19D2039771 · Waiver
151 OCHSNER BLVD STE H, GRETNA, LA 70056(504) 392-7123(504) 392-7823 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 28, 2026, Feb 7, 2024 (2 updates tracked since 2024).

About Spinecare Medical Group NPPES

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

SPINECARE MEDICAL GROUP (NPI 1467540179) is a healthcare organization registered as a specialist in Gretna, Louisiana and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 16, 2028 and lists Alexis M Waguespack, Md, as its authorized official.

NPPES Registry Identity

NPI1467540179
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSPINECARE MEDICAL GROUP
Location Address151 OCHSNER BLVD STE HGretna, LA 70056-5256
Mailing Address151 Ochsner Blvd Ste HGretna, LA 70056-5256 · (504) 392-7123 · Fax (504) 392-7823
Fax(504) 392-7823
Organization SubpartNo
Authorized OfficialAlexis M WaguespackMd · (504) 392-7123
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 28, 20262 updates tracked since enumeration
NPPES CertifiedJuly 28, 2026
✔ NPI 1467540179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 09377R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
151 OCHSNER BLVD STE H, Gretna, LA 70056

Other Identifiers 2

Medicaid1955884LA
Medicaid3376644LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spinecare Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20070219000295Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Spinecare Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Orthopedic Surgery
NPI 1457388035
151 OCHSNER BLVD STE H
Gretna, LA 70056
(504) 392-7123
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 19D2039771

Spine Care Medical Group Inc · Metairie, LA
Active · expires Apr 16, 2028
CLIA Number19D2039771
Laboratory TypePhysician Office
Certificate Effective DateApril 17, 2026
Certificate Expiration DateApril 16, 2028
Laboratory DirectorAlexis M. Waguespack
Laboratory Phone(504) 392-7123
Laboratory LocationSpine Care Medical Group Inc3939 Houma Blvd, Suite 18, Metairie, LA 70006
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Spinecare Medical Group's NPI number?

The NPI number for Spinecare Medical Group is 1467540179. It was assigned to this organization in the NPPES registry on October 10, 2006.

Where is Spinecare Medical Group located?

Spinecare Medical Group is located at 151 Ochsner Blvd Ste H, Gretna, LA 70056. The listed phone number is (504) 392-7123.

What is Spinecare Medical Group's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Spinecare Medical Group enrolled in Medicare?

Yes. Spinecare Medical Group is registered in the Medicare PECOS enrollment system.

When is Spinecare Medical Group's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Spinecare Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Spinecare Medical Group. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Spinecare Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 19D2039771) is associated with this NPI, valid through April 16, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Spinecare Medical Group accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Spinecare Medical Group 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.

When was this NPI record last updated?

The NPPES record for Spinecare Medical Group was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.