Individual provider Active NPI

Chelcie D Langlois, NP

  • Family Medicine Physician
  • Prairieville, LA
National Provider Identifier
1477107290
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206896 Issued in LA
Practice address
17609 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3980
Phone
(225) 765-5500
Fax
(225) 743-2888
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 206896 LA Primary

Addresses

Primary practice location

17609 Old Jefferson Hwy Ste a
Prairieville, LA 70769-3980

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 526-0011

Other practice location 1

214 Clinic Dr
Donaldsonville, LA 70346-4309
Phone (225) 765-5500

Other practice location 2

2647 S Saint Elizabeth Blvd Ste 100
Gonzales, LA 70737-5019
Phone (225) 765-5500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address cdaigle37331@direct.casso.us.com Direct
FHIR URL https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Other

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
I20190910003031 LA Practitioner - Nurse Practitioner 1850620246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17609 Old Jefferson Hwy
Suite a
Prairieville, LA 70769-3980
Phone (225) 647-8511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206896LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 5, 2019 Accepting new patients
Our Lady of the Lake Physician Group LLC Family Medicine Current Accepting new patients
Our Lady of the Lake Physician Group, LLC CurrentSince Aug 5, 2019 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

1401 N Foster Dr
Baton Rouge, LA 70806
Phone (225) 987-9000

214 Clinic Dr
Donaldsonvlle, LA 70346
Phone (225) 473-8151

1023 W Highway 30
Gonzales, LA 70737
Phone (225) 743-2366

2647 S Saint Elizabeth Blvd
Ste 219
Gonzales, LA 70737
Phone (225) 765-5864

2647 S Saint Elizabeth Blvd
Ste 100
Gonzales, LA 70737
Phone (225) 743-2707

17609 Old Jefferson Hwy
Ste C
Prairieville, LA 70769

17609 Old Jefferson Hwy
Ste A
Prairieville, LA 70769

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.

Hospital & facility affiliations 1

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": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1477107290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-526-0011",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17609 OLD JEFFERSON HWY STE A",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693980",
            "telephone_number": "225-765-5500",
            "fax_number": "225-743-2888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Clinic Dr",
            "address_purpose": "LOCATION",
            "city": "Donaldsonville",
            "state": "LA",
            "postal_code": "703464309",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-473-4406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2647 S Saint Elizabeth Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Gonzales",
            "state": "LA",
            "postal_code": "707375019",
            "country_code": "US",
            "telephone_number": "225-765-5500",
            "fax_number": "225-644-5415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANGLOIS",
        "first_name": "CHELCIE",
        "middle_name": "D",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "206896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cdaigle37331@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cdaigle37331@direct.casso.us.com",
            "address_1": "17609 Old Jefferson Hwy Ste A",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "17609 Old Jefferson Hwy Ste A",
            "city": "Prairieville",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707693980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.