Active NPI
Lance Henagan, NP
- Acute Care Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP08442
- Practice address
- 1747 Imperial Blvd
Lake Charles, LA 70605-5362 - Phone
- (337) 721-7236
- Fax
- (337) 721-7237
- NPI assigned
- Jul 13, 2015
- Last updated
- Oct 16, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP08442 | LA | |
| Acute Care Nurse Practitioner | 363LA2100X | AP08442 | LA | Primary |
Addresses
Primary practice location
1747 Imperial Blvd
Lake Charles, LA 70605-5362
Mailing address
PO Box 122165
Dept 2165
Dallas, TX 75312-2165
Phone (337) 494-2919
Other practice location 1
1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 494-3000
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1717 Oak Park Blvd
FL 2
Lake Charles, LA 70601-8990
Phone (337) 494-3278
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 23.76 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 79.18
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Lake Charles Memorial Heart and Vascular Center | Current | Accepting new patients | |
| Professional Emergency Medicine Management -- Lake Charles LLC | Current | Accepting new patients | |
| Abbeville Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Calcasieu Urgent Care LLC | Current | Accepting new patients | |
| Imperial Health LLP | Past | Accepting new patients |
Locations
118 N Hospital Dr
Abbeville, LA 70510
Phone (337) 893-5466
109 W 4th St
Deridder, LA 70634
Phone (337) 221-3004
1322 Elton Rd
Ste E
Jennings, LA 70546
Phone (337) 783-5559
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
1717 Oak Park Blvd
Fl 2
Lake Charles, LA 70601
Phone (337) 474-5092
Interoperability endpoints
- lhenagan5286187@direct.casso.us.com
- lhenagan@direct.centerforortho.com
Organizations & group practices 6
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.
-
dba Heart & Vascular Center
- Cardiovascular Disease Physician
- Lake Charles, LA
- NPI 1407808405
-
- Emergency Medicine Physician
- Abbeville, LA
- NPI 1760799290
Nurse Practitioner
-
dba Calcasieu Urgent Care
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Family Medicine Physician
- Lake Charles, LA
- NPI 1326396375
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Digestive Health Center of SWLA
- Gastroenterology Physician
- Lake Charles, LA
- NPI 1285351411
Hospital
-
dba Rheumatology Associates
- Rheumatology Physician
- Lake Charles, LA
- NPI 1659424075
Hospital
-
dba Lake Charles Memorial Hospital
- General Acute Care Hospital
- Lake Charles, LA
- NPI 1972549855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697414400000",
"number": "1326422924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 122165",
"address_2": "DEPT 2165",
"city": "DALLAS",
"state": "TX",
"postal_code": "753122165",
"telephone_number": "337-494-2919",
"fax_number": "337-494-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1747 IMPERIAL BLVD",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055362",
"telephone_number": "337-721-7236",
"fax_number": "337-721-7237"
}
],
"practiceLocations": [
{
"address_1": "1701 Oak Park Blvd",
"address_purpose": "LOCATION",
"city": "Lake Charles",
"state": "LA",
"postal_code": "706018911",
"country_code": "US",
"telephone_number": "337-494-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENAGAN",
"first_name": "LANCE",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-13",
"last_updated": "2023-10-16",
"certification_date": "2023-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP08442",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "LA",
"license": "AP08442",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.