Individual provider Active NPI

Rikki Monticello

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1356730303
Registry record updated Apr 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07909 Issued in LA
Practice address
1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990
Phone
(337) 494-4900
Fax
(337) 494-4797
NPI assigned
Jan 14, 2015
Last updated
Apr 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2022

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 AP07909 LA Primary

Addresses

Primary practice location

1717 Oak Park Blvd FL 3
Lake Charles, LA 70601-8990

Mailing address

PO Box 122165
Dept 2165
Dallas, TX 75312-2165
Phone (337) 494-2921

Other practice location 1

4345 Nelson Rd Ste 101
Lake Charles, LA 70605-4183
Phone (337) 480-7942

Other practice location 2

230 W Sale Rd
Lake Charles, LA 70605-2828
Phone (337) 477-5252

Other identifiers 1

IdentifierTypeStateIssuer
2383752MedicaidLA

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
I20150318002154 LA Practitioner - Nurse Practitioner 9931426509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
LCMS Neurosurgical Institute of Lake Charles LLCGroup PAC ID 8224189758, 10 clinicians

Practice addresses (Care Compare)

1717 Oak Park Blvd
FL 3
Lake Charles, LA 70601-8990
Phone (337) 494-4720

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07909LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LCMS Neurosurgical Institute of Lake Charles LLC CurrentSince Apr 21, 2025 Accepting new patients
MMG Nelson Rd LLC Past Accepting new patients
Lake Charles Medical Services Past Accepting new patients

Locations

1614 Wolf Cir
Lake Charles, LA 70605
Phone (337) 478-9653

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

2770 3rd Ave
Ste 100
Lake Charles, LA 70601
Phone (337) 494-4720

2770 3rd Ave
Ste 110
Lake Charles, LA 70601
Phone (337) 494-2750

Organizations & group practices 3

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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651190400000",
    "number": "1356730303",
    "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": "337-494-2921",
            "fax_number": "337-494-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 3",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-494-4900",
            "fax_number": "337-494-4797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4345 Nelson Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706054183",
            "country_code": "US",
            "telephone_number": "337-480-7942",
            "fax_number": "337-480-7964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 W Sale Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706052828",
            "country_code": "US",
            "telephone_number": "337-477-5252",
            "fax_number": "337-502-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTICELLO",
        "first_name": "RIKKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383752",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.