Individual provider Active NPI

Jeffrey Paul Allain, CRNA

  • Certified Registered Nurse Anesthetist
  • Lake Charles, LA
National Provider Identifier
1053605758
Registry record updated Apr 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
AP06561 Issued in LA
Practice address
2750 Aster St
Lake Charles, LA 70601-8824
Phone
(337) 480-8900
Fax
(337) 480-8901
NPI assigned
May 31, 2011
Last updated
Apr 30, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP06561 LA Primary
Registered Nurse 163W00000X RN117173 LA

Addresses

Primary practice location

2750 Aster St
Lake Charles, LA 70601-8824

Mailing address

PO Box 122431
Dept 2431
Dallas, TX 75312-2431
Phone (337) 480-8900

Other identifiers 1

IdentifierTypeStateIssuer
2164821MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110830000670 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 0143490128 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Cardiovascular Diseases, LLCGroup PAC ID 1951541515, 34 clinicians
Anesthesiology Group Associates IncGroup PAC ID 0042110298, 155 clinicians

Practice addresses (Care Compare)

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3255

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone (225) 765-6565

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN117173LAMDRegistered Nurse
AP06561LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Group Associates Inc CurrentSince Sep 1, 2022 Accepting new patients
Precision Anesthesia of Lafayette LLC Nurse Anesthetist, Certified Registered CurrentSince Nov 24, 2020 Accepting new patients
LCMS Cardiovascular Diseases, LLC CurrentSince Oct 1, 2018 Accepting new patients
Lake Charles Anesthesiology, Apmc CurrentSince Aug 1, 2023 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince May 18, 2018 Accepting new patients
Surgical Anesthesia of Baton Rouge LLC Past Accepting new patients
Anesthesia Associates Nurse Anesthetist, Certified Registered Past Accepting new patients
West Cal Anesthesia Associates Past Accepting new patients
Professional Anesthesia Network, Inc. Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

11414 Lake Sherwood Ave N
Baton Rouge, LA 70816
Phone (225) 532-4058

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

9032 Perkins Rd
Baton Rouge, LA 70810
Phone (225) 358-4853

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

443 Heymann Blvd
Lafayette, LA 70503
Phone (337) 234-4535

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1757 Imperial Blvd
Lake Charles, LA 70605
Phone (337) 310-2832

2750 Aster St
Lake Charles, LA 70601
Phone (337) 480-8900

5150 Robotics Ln
Lake Charles, LA 70605
Phone (337) 214-1591

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

130 Hospital Dr
Oakdale, LA 71463
Phone (318) 215-3084

Organizations & group practices 9

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

Hospital & facility affiliations 4

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": "1306800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1053605758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122431",
            "address_2": "DEPT 2431",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122431",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 ASTER ST",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018824",
            "telephone_number": "337-480-8900",
            "fax_number": "337-480-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLAIN",
        "first_name": "JEFFREY",
        "middle_name": "PAUL",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-31",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06561",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN117173",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2164821",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.