Individual provider Active NPI

Fred T Barnette III

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1184811960
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN074682/AP05295 Issued in LA
Practice address
984 Jackson Street
Monroe, LA 71202
Phone
(318) 330-7300
NPI assigned
Sep 26, 2007
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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 RN074682/AP05295 LA Primary

Addresses

Primary practice location

984 Jackson Street
Monroe, LA 71202

Mailing address

984 Jackson Street
Monroe, LA 71202
Phone (318) 330-7300

Other practice location 1

2408 Broadmoor Blvd Ste B
Monroe, LA 71201-2994
Phone (318) 807-0525

Other identifiers 1

IdentifierTypeStateIssuer
1024309MedicaidLA

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
I20071024000522 LA Practitioner - Nurse Practitioner 7315034238 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7373 Perkins Rd
Baton Rouge, LA 70808-4326
Phone (225) 246-9790

920 Oliver Rd
Monroe, LA 71201-5702
Phone (318) 998-3426

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN074682/AP05295LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Health Group, LLC CurrentSince Mar 1, 2016 Accepting new patients
Northeast Delta Human Services Authority Current Accepting new patients
Brfhh Monroe LLC CurrentSince Jan 1, 2015 Accepting new patients
Northeast Delta Human Services Authority Family CurrentSince Nov 30, 2020 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Northeast Delta Human Services Authority Family CurrentSince Nov 30, 2020 Accepting new patients
Brfhh Monroe LLC CurrentSince Jan 1, 2015 Accepting new patients
Affinity Health Group, LLC CurrentSince Mar 1, 2016 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Affinity Health Group, LLC PastSince May 31, 2020 Accepting new patients

Locations

451 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-0868

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

5159 Highway 4 E
Columbia, LA 71418
Phone (318) 649-2333

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

2408 Broadmoor Blvd
Ste B
Monroe, LA 71201
Phone (318) 807-0525

2513 Ferrand St
Monroe, LA 71201
Phone (318) 362-3270

2525 Ferrand St
Monroe, LA 71201
Phone (318) 362-3153

4800 S Grand St
Monroe, LA 71202
Phone (318) 362-3339

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267

602 E Georgia Ave
Ruston, LA 71270
Phone (318) 251-4125

1012 Johnson St
Tallulah, LA 71282
Phone (318) 574-1713

1301 Landis St
#B
Winnsboro, LA 71295
Phone (318) 435-2146

Interoperability endpoints

  • Direct secure messaging: fbarnette5299601@direct.casso.us.com

Organizations & group practices 10

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": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1184811960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "984 JACKSON STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71202",
            "telephone_number": "318-330-7300",
            "fax_number": "318-330-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 JACKSON STREET",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71202",
            "telephone_number": "318-330-7300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2408 Broadmoor Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712012994",
            "country_code": "US",
            "telephone_number": "318-807-0525",
            "fax_number": "318-807-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNETTE",
        "first_name": "FRED",
        "middle_name": "T",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-26",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN074682/AP05295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1024309",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.