Dennis W. Kleinpeter, APRN, ANP
Individual provider Active NPI Adult Health Nurse Practitioner · Lake Charles, LA
NPI 1154747186 · NPPES record last updated Feb 12, 2015
Key facts
- NPI
- 1154747186
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- AP07693 (LA)
- Practice address
- 503 W Sallier St
Lake Charles, LA 70601-5756 - Phone
- (337) 433-9966
- Fax
- (337) 433-6655
- NPI assigned
- Mar 14, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Emergency Medicine Management -- Lake Charles LLC
Calcasieu Urgent Care LLC
Beauregard Medical and Surgical Center, LLC
Concord Medical Group PLLC
Practice addresses (Care Compare)
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3036
2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919
301 S Washington St
Deridder, LA 70634-4861
Phone (337) 460-7688
600 S Pine St
Deridder, LA 70634-4942
Phone (337) 462-7100
Hospital & facility affiliations
- Beauregard Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150309000757 | LA | Practitioner - Nurse Practitioner | 2062738149 | Reassigns benefits to 7 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP07693 | LA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No 2 of Parish of Beauregard State of la | Current | Accepting new patients | |
| Beauregard Medical and Surgical Center, LLC | Current |
Accepting new patients | |
| West Louisiana Health Services Inc | Current |
Accepting new patients | |
| Beauregard Family Medical Center, LLC | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Calcasieu Cameron Emergency Physician Group LLC | Current |
Accepting new patients | |
| Professional Emergency Medicine Management -- Lake Charles LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care, LLC | Current |
Accepting new patients | |
| Calcasieu Urgent Care LLC | Current |
Accepting new patients | |
| Hospital Service District No 2 of Parish of Beauregard State of la | Past | Accepting new patients | |
| Chuen K Kwok Ms Apmc | Past | Accepting new patients | |
| Beauregard Urology Center, LLC | Past |
Accepting new patients |
Locations
902 Main St
Baker, LA 70714
Phone (225) 500-2504
501 S Pine St
Deridder, LA 70634
Phone (337) 462-3937
495 W 8th St
Deridder, LA 70634
Phone (337) 462-2262
200 W 5th St
Deridder, LA 70634
Phone (337) 221-1417
301 S Washington St
Deridder, LA 70634
Phone (337) 460-7688
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
501 S Pine St
#C
Deridder, LA 70634
Phone (337) 463-9890
9414 E Park Ave
Houma, LA 70363
Phone (985) 601-5895
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919
307 Keyser Ave
Natchitoches, LA 71457
Phone (318) 352-5221
701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270
Interoperability endpoints
- dennis.kleinpeter@beauregard.medalliesdirect.net
- dkleinpeter5286183@direct.casso.us.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP07693 | LA | Yes |
Addresses
Primary practice location
503 W Sallier St
Lake Charles, LA 70601-5756
Mailing address
503 W Sallier St
Lake Charles, LA 70601-5756
Phone (337) 433-9966
Other providers in Lake Charles, LA
- Paricia King
- Sarah King
- Kingdom Expressions LLC
- Maggie Elizabeth Kingham
- Joycelyn Louise Kirkendall
- Johnnie L Kleinschmidt
- Mary Clare Klumpp
- Terry Lee Knauf
- KNDL Partners
- Deana Leigh Knighten
All providers in Lake Charles, LA · Adult Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.