Individual provider Active NPI

Willie Raymond Vasquez Jr., PA-C

  • Medical Physician Assistant
  • Pineville, LA
National Provider Identifier
1487323499
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.A10563 Issued in LA
Practice address
2389 Highway 28 E
Pineville, LA 71360-5607
Phone
(318) 487-1925
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.A10563 LA Primary

Addresses

Primary practice location

2389 Highway 28 E
Pineville, LA 71360-5607

Mailing address

1235 Heyman LN
Alexandria, LA 71303-2909
Phone (318) 308-3834

Other names 1

  • Mr. Will Raymond Vasquez Jr. Other name

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
I20210916001880 LA Practitioner - Physician Assistant 7618374760 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Cameron Hospital Medicine Group LLCGroup PAC ID 1557688421, 66 clinicians
Natchitoches Parkway Clinic, LLCGroup PAC ID 2860833340, 12 clinicians

Practice addresses (Care Compare)

211 4TH St
Alexandria, LA 71301-8421
Phone (484) 965-9566

5045 University Pkwy
Natchitoches, LA 71457-7156

701 Cypress St
Sulphur, LA 70663-5053
Phone (337) 527-7034

Hospital & facility affiliations

  • Rapides Regional Medical Center Hospital, Alexandria, LA, CCN 190026
  • Natchitoches Regional Medical Center Hospital, Natchitoches, LA, CCN 190007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CH MSSP Services la LLC CurrentSince Oct 21, 2025 Accepting new patients
Curana Health of Louisiana LLC CurrentSince Oct 21, 2025 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Aug 11, 2025 Accepting new patients
DM Properties of Lafayette, LLC CurrentSince Aug 11, 2025 Accepting new patients

Locations

3601 Jackson Street Ext
Alexandria, LA 71303
Phone (318) 787-6877

211 4th St
Alexandria, LA 71301
Phone (318) 473-3000

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

325 Bacque Crescent Dr
Lafayette, LA 70503
Phone (337) 232-0299

2705 Highway 28 E
Pineville, LA 71360
Phone (318) 704-6770

100 Kingston Rd
Sulphur, LA 70663
Phone (318) 446-1667

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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 9

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1487323499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 HEYMAN LN",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713032909",
            "telephone_number": "318-308-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2389 HIGHWAY 28 E",
            "city": "PINEVILLE",
            "state": "LA",
            "postal_code": "713605607",
            "telephone_number": "318-487-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASQUEZ",
        "first_name": "WILLIE",
        "middle_name": "RAYMOND",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.A10563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILL",
            "last_name": "VASQUEZ",
            "middle_name": "RAYMOND",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pineville, LA

Sources for this page

Verify at the official NPI Registry.