Individual provider Active NPI

Callie Entwisle

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1033898036
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
233921 Issued in LA
Practice address
5220 Essen LN
Baton Rouge, LA 70809-3542
Phone
(225) 354-9981
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 908572 MS
Certified Registered Nurse Anesthetist 367500000X 233921 LA Primary

Addresses

Primary practice location

5220 Essen LN
Baton Rouge, LA 70809-3542

Mailing address

1451 Granby Dr
Baton Rouge, LA 70820-5305
Phone (662) 812-6571

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314002182 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6901242734 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuedge Anesthesia LLCGroup PAC ID 7911340575, 12 clinicians
Dpi of Louisiana LLCGroup PAC ID 1456886365, 72 clinicians

Practice addresses (Care Compare)

10105 Park Rowe Cir
Baton Rouge, LA 70810-1688
Phone (225) 906-4843

7145 Perkins Rd
Baton Rouge, LA 70808-4322
Phone (225) 765-3111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
908572MSMDRegistered Nurse
233921LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpi of Louisiana LLC Nurse Anesthetist, Certified Registered CurrentSince Sep 17, 2025 Accepting new patients
Nuedge Anesthesia LLC CurrentSince Feb 1, 2024 Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1033898036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 GRANBY DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708205305",
            "telephone_number": "662-812-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 ESSEN LN",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093542",
            "telephone_number": "225-354-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENTWISLE",
        "first_name": "CALLIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "908572",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "233921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.