Individual provider Active NPI

Wronetta Ann Charles, DNP, APRN, BC, FNP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1558424366
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP04507 Issued in LA
Practice address
5367 I 49 S Service Rd
Opelousas, LA 70570-0743
Phone
(337) 678-0366
Fax
(337) 223-8301
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 AP04507 LA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP04507 LA Primary

Addresses

Primary practice location

5367 I 49 S Service Rd
Opelousas, LA 70570-0743

Mailing address

2161 Babe St
Opelousas, LA 70570-3252
Phone (337) 290-0745

Other practice location 1

8762 Highway 182
Opelousas, LA 70570-5603
Phone (337) 942-2005

Other identifiers 1

IdentifierTypeStateIssuer
1479438MedicaidLA

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
I20050425000357 LA Practitioner - Nurse Practitioner 0941253637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2161 Babe St
Opelousas, LA 70570-3252
Phone (337) 678-0366

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04507LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind and Body Connections LLC Psychiatric/Mental Health CurrentSince Oct 1, 2017 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: wronetta.charles.p1@direct.alegiscare.nextgenshare.com
  • Direct secure messaging: wronetta.charles.p2@direct.alegiscare.nextgenshare.com

Organizations & group practices 1

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1558424366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2161 BABE ST",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705703252",
            "telephone_number": "337-290-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5367 I 49 S SERVICE RD",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705700743",
            "telephone_number": "337-678-0366",
            "fax_number": "337-223-8301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8762 Highway 182",
            "address_purpose": "LOCATION",
            "city": "Opelousas",
            "state": "LA",
            "postal_code": "705705603",
            "country_code": "US",
            "telephone_number": "337-942-2005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHARLES",
        "first_name": "WRONETTA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "DNP, APRN, BC, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04507",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP04507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1479438",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.