Celeste Fenley Ducote, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Greenwell Springs, LA
NPI 1619861440 · NPPES record last updated Jun 5, 2025
Key facts
- NPI
- 1619861440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 240124 (LA)
- Practice address
- 18448 Magnolia Bridge Rd
Greenwell Springs, LA 70739-4626 - Phone
- (225) 256-0063
- NPI assigned
- Jun 5, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Boston Primary Care LLC
Practice addresses (Care Compare)
18448 Magnolia Bridge Rd
Suite a
Greenwell Springs, LA 70739-4626
Phone (225) 256-0063
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260106002690 | LA | Practitioner - Nurse Practitioner | 4082100482 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 240124 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Boston Primary Care LLC | Current |
Accepting new patients |
Locations
18448 Magnolia Bridge Rd
#A
Greenwell Springs, LA 70739
Phone (225) 256-0063
Interoperability endpoints
- celeste.ducote.1@24590.direct.athenahealth.com
- https://api.platform.athenahealth.com/24590/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 240124 | LA | Yes |
Addresses
Primary practice location
18448 Magnolia Bridge Rd
Greenwell Springs, LA 70739-4626
Mailing address
18448 Magnolia Bridge Rd
Greenwell Springs, LA 70739-4626
Phone (225) 256-0063
Other providers in Greenwell Springs, LA
- Herschel B. Dean
- Robert Kyle Dean
- Tiffany Deaver
- Department of Health and Hospitals
- Randall Devall
- Angela Nicole Dungan
- Eastern la. Mental Health Sys
- Exceptional Dental of Central, LLC
- Elizabeth N Farris
- Drew Michael Fields
All providers in Greenwell Springs, LA · Family Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.