Individual provider Active NPI

Khristopher Paul Fuselier, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Crowley, LA
National Provider Identifier
1326637737
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
218812 Issued in LA
Practice address
421 N Avenue F
Crowley, LA 70526-5044
Phone
(337) 514-4757
Fax
(337) 806-8270
NPI assigned
Jan 12, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 218812 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 218812 LA Primary

Addresses

Primary practice location

421 N Avenue F
Crowley, LA 70526-5044

Mailing address

421 N Avenue F
Crowley, LA 70526-5044
Phone (337) 514-4757

Other practice location 1

1701 Oak Park Blvd
Lake Charles, LA 70601-8911
Phone (337) 802-0747

Other identifiers 1

IdentifierTypeStateIssuer
2547992MedicaidLA

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
I20210323000335 LA Practitioner - Nurse Practitioner 7618384496 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dennis G Walker Family ClinicGroup PAC ID 9830529684, 3 clinicians

Practice addresses (Care Compare)

302 W 4TH St
Dequincy, LA 70633-3404
Phone (337) 223-8224

421 N Ave F
Crowley, LA 70526-5044
Phone (337) 514-4757

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fuselier Family Clinic Psychiatric/Mental Health CurrentSince Jul 23, 2024 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Mar 15, 2021 Accepting new patients
Calcasieu Cameron Emergency Physician Group LLC CurrentSince Mar 1, 2024 Accepting new patients

Locations

302 W 4th St
Ste B
Dequincy, LA 70633
Phone (337) 802-0747

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

Interoperability endpoints

  • Direct secure messaging: khristopher.fuselier@495864704139268.direct.elationemr.com
  • Direct secure messaging: khristopher.fuselier@495859721895940.direct.elationemr.com
  • Direct secure messaging: kfuselier5286184@direct.casso.us.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1326637737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 N AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265044",
            "telephone_number": "337-514-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N AVENUE F",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705265044",
            "telephone_number": "337-514-4757",
            "fax_number": "337-806-8270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 Oak Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706018911",
            "country_code": "US",
            "telephone_number": "337-802-0747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSELIER",
        "first_name": "KHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-12",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218812",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "218812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2547992",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.