Active NPI
Wesley Coleman
- Physician Assistant
- Alexandria, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA300402
- Practice address
- 145 Yorktown Dr
Alexandria, LA 71303-3621 - Phone
- (318) 445-8380
- Fax
- (318) 445-9753
- NPI assigned
- Nov 16, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA300402 | LA | Primary |
Addresses
Primary practice location
145 Yorktown Dr
Alexandria, LA 71303-3621
Mailing address
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 445-8380
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151230001014 | LA | Practitioner - Physician Assistant | 3870895303 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Green Clinic LLC
Practice addresses (Care Compare)
1200 S Farmerville St
Ruston, LA 71270-5941
Phone (318) 255-3690
1809 Northpointe LN
102 Quickcare of Ruston
Ruston, LA 71270-3852
Phone (318) 255-3762
Hospital & facility affiliations
- Northern Louisiana Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 60.04
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.47 of 100
- Improvement activities
- 40
- Cost
- 73.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA300402 | LA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Green Clinic LLC | Current | Accepting new patients |
Locations
1809 Northpointe Ln
Ste 102
Ruston, LA 71270
Phone (318) 255-3762
1200 S Farmerville St
Ruston, LA 71270
Phone (318) 251-6103
Interoperability endpoints
- wesley.coleman@gcqc.directbygreenway.com
- wesley.coleman.1@26990.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Ruston, LA
- NPI 1578021093
-
- Emergency Medical Services (Emergency Medicine) Physician
- Monroe, LA
- NPI 1386235331
LA
-
- Physical Therapy Clinic/Center
- Ruston, LA
- NPI 1891801601
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": "1447632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573171200000",
"number": "1124492137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 S FARMERVILLE ST",
"city": "RUSTON",
"state": "LA",
"postal_code": "712705941",
"telephone_number": "318-445-8380",
"fax_number": "318-445-9753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 YORKTOWN DR",
"city": "ALEXANDRIA",
"state": "LA",
"postal_code": "713033621",
"telephone_number": "318-445-8380",
"fax_number": "318-445-9753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "WESLEY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-16",
"last_updated": "2019-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "LA",
"license": "PA300402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; 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.