Individual provider Active NPI

Matthew Brent Wegner, APRN, FNP-C

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1518949650
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04788 Issued in LA
Practice address
101 Professional Dr
West Monroe, LA 71291-8309
Phone
(318) 387-5244
Fax
(318) 398-9986
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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 AP04788 LA Primary

Addresses

Primary practice location

101 Professional Dr
West Monroe, LA 71291-8309

Mailing address

325 Evergreen St
West Monroe, LA 71292-6458
Phone (318) 512-4443

Other identifiers 1

IdentifierTypeStateIssuer
1787132MedicaidLA

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
I20051010000209 LA Practitioner - Nurse Practitioner 0244255248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Infusion LLCGroup PAC ID 9931532116, 29 clinicians
Ed Physicians of West Louisiana, LLCGroup PAC ID 4880795665, 26 clinicians

Practice addresses (Care Compare)

1401 N 18TH St
Suite a
Monroe, LA 71201-4972
Phone (888) 339-0906

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4700

9026 Jefferson Hwy
Suite 201
Baton Rouge, LA 70809-2433
Phone (888) 339-0906

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04788LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Infusion LLC CurrentSince May 31, 2023 Accepting new patients
Ed Physicians of West Louisiana, LLC Nurse Practitioner CurrentSince Apr 28, 2025 Accepting new patients
Calcasieu Urgent Care LLC Past Accepting new patients

Locations

6501 Coliseum Blvd
Ste 600
Alexandria, LA 71303
Phone (888) 399-0906

9026 Jefferson Hwy
Ste 201
Baton Rouge, LA 70809
Phone (225) 243-1800

1101 S College Rd
Ste 401
Lafayette, LA 70503
Phone (318) 366-4915

201 W College St
#A
Lake Charles, LA 70605
Phone (318) 885-0841

3330 W Esplanade Ave S
Ste 108
Metairie, LA 70002
Phone (504) 588-6900

1401 N 18th St
Ste A
Monroe, LA 71201
Phone (318) 600-4364

425 Ashley Ridge Blvd
Ste 112
Shreveport, LA 71106
Phone (888) 399-0906

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Interoperability endpoints

  • Direct secure messaging: mwegner@wchs.securechart.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205712000000",
    "number": "1518949650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 EVERGREEN ST",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712926458",
            "telephone_number": "318-512-4443",
            "fax_number": "318-398-9986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PROFESSIONAL DR",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918309",
            "telephone_number": "318-387-5244",
            "fax_number": "318-398-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEGNER",
        "first_name": "MATTHEW",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1787132",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.