Individual provider Active NPI

Charlsie Hannah Coefield Lemoine, DNP

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1063110609
Registry record updated Feb 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
212683 Issued in LA
Practice address
7301 Hennessy Blvd Ste 100
Baton Rouge, LA 70808-4793
Phone
(225) 763-6011
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 212683 LA Primary

Addresses

Primary practice location

7301 Hennessy Blvd Ste 100
Baton Rouge, LA 70808-4793

Mailing address

8946 Interline Ave Ste C
Baton Rouge, LA 70809-1913

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230601001389 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3870950108 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Rush Medical College of Rush University, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dpi of Louisiana LLCGroup PAC ID 1456886365, 72 clinicians

Practice addresses (Care Compare)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dpi of Louisiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Diversified Professionals, Inc. CurrentSince Mar 15, 2023 Accepting new patients
Nuedge Anesthesia LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

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

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

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

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

7301 Hennessy Blvd
Ste 100
Baton Rouge, LA 70808
Phone (225) 763-6011

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

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

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

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1063110609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8946 INTERLINE AVE STE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 HENNESSY BLVD STE 100",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084793",
            "telephone_number": "225-763-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMOINE",
        "first_name": "CHARLSIE",
        "middle_name": "HANNAH COEFIELD",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "212683",
            "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 Feb 22, 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.