Individual provider Active NPI

Lance Henagan, NP

  • Acute Care Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1326422924
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP08442 Issued in LA
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150825004206 LA Practitioner - Nurse Practitioner 4789990532 Reassigns benefits to 4 organizations

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
Lake Charles Memorial Heart and Vascular CenterGroup PAC ID 4082689914, 15 clinicians

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 100Reported as individual
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

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Oct 13, 2023 Accepting new patients
Lake Charles Memorial Heart and Vascular Center CurrentSince Sep 1, 2024 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Jul 10, 2015 Accepting new patients
Abbeville Emergency Group LLC Nurse Practitioner CurrentSince Sep 19, 2020 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Oct 13, 2023 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

  • Direct secure messaging: lhenagan5286187@direct.casso.us.com
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.