Individual provider Active NPI

Shantell Nicole Dugas, APRN

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1124760301
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224318 Issued in LA
Practice address
3103 E Simcoe St
Lafayette, LA 70501-6534
Phone
(337) 255-3124
NPI assigned
Apr 8, 2022
Last updated
Apr 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 224318 LA Primary

Addresses

Primary practice location

3103 E Simcoe St
Lafayette, LA 70501-6534

Mailing address

3103 E Simcoe St
Lafayette, LA 70501-6534
Phone (337) 255-3124

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220627001073 LA Practitioner - Nurse Practitioner 1557740206 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 404
Lafayette, LA 70503-2638
Phone (337) 769-2531

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
224318LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette General Medical Center Inc. CurrentSince Mar 27, 2023 Accepting new patients
Lafayette Health Ventures Inc CurrentSince Mar 27, 2023 Accepting new patients
University Hospital and Clinics, Inc. CurrentSince Jul 31, 2022 Accepting new patients
Lafayette Health Ventures, Inc. CurrentSince Mar 27, 2023 Accepting new patients
Lafayette Health Ventures Inc Current Accepting new patients
University Hospital & Clinics, Inc. Current Accepting new patients
Lafayette General Medical Center Inc. CurrentSince Mar 27, 2023 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jul 31, 2022 Accepting new patients
Louis C. Blanda, Jr., MD, Apmc Past Accepting new patients
University Hospital & Clinics, Inc. Past Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Lafayette General Medical Center Inc Past Accepting new patients

Locations

1305 Crowley Rayne Hwy
#200
Crowley, LA 70526
Phone (337) 788-6545

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

1211 Coolidge Blvd
Ste 100
Lafayette, LA 70503
Phone (337) 234-5234

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

Interoperability endpoints

  • Direct secure messaging: sdugas1576203@direct.ochsner.org

Organizations & group practices 12

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 3

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": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1124760301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 E SIMCOE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016534",
            "telephone_number": "337-255-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3103 E SIMCOE ST",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016534",
            "telephone_number": "337-255-3124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAS",
        "first_name": "SHANTELL",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.