Charles Wayne Culpepper, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.000118 Issued in LA

Practice address

1518 Doctors Dr
Bossier City, LA 71111-3322

Phone

(318) 746-1094

Fax

(318) 746-2808

NPI assigned

Aug 1, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nocona Hospital DistrictGroup PAC ID 5395786180, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Nocona General Hospital Hospital, Nocona, TX, CCN 450641

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: clinical@nmc.directbygreenway.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nocona Hospital District

  • Rural Acute Care Hospital
  • Nocona, TX
  • NPI 1972684827
  Medicare reassignment Care Compare group NPD
• Nocona Hospital District

  • Skilled Nursing Facility
  • Midlothian, TX
  • NPI 1821988437
  NPD
• Sharptime PT

  • Physical Therapy Clinic/Center
  • Bossier City, LA
  • NPI 1295516227
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nocona Hospital District

  • General Acute Care Hospital
  • Nocona, TX
  • NPI 1689655912
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217548800000",
    "number": "1033375795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113322",
            "telephone_number": "318-746-1094",
            "fax_number": "318-746-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 DOCTORS DR",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113322",
            "telephone_number": "318-746-1094",
            "fax_number": "318-746-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULPEPPER",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.000118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Calvin Crnkovic, DPT
• Alicia Price Crooks, OD
• Abigail Claire Cruice
• Amanda Cruse, LPC
• Christopher Robert Culliton, D.D.S.
• Kellen Culpepper
• Kelly Cheree Cummings, RN,BSN
• Heaven Cunanan
• Nelson Tiamzon Cunanan
• Johnny Cunningham, RPH

• Physician Assistant in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.