Active NPI
Wronetta Ann Charles, DNP, APRN, BC, FNP-C
- Psychiatric/Mental Health Nurse Practitioner
- Opelousas, LA
National Provider Identifier
1558424366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP04507
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1479438 | Medicaid | LA |
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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP04507 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mind and Body Connections LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Interoperability endpoints
- wronetta.charles.p1@direct.alegiscare.nextgenshare.com
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Sunset, LA
- NPI 1073022950
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.