Wendy Champagne Fuselier, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA.A10410RX Issued in LA

Practice address

1525 E Bridge St
Breaux Bridge, LA 70517-3401

Phone

(337) 442-1131

NPI assigned

Dec 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fuselier Healthcare Services LLCGroup PAC ID 9335583970, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner St Martin Hospital Hospital, Breaux Bridge, LA, CCN 191302
• Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Fuselier Healthcare Services, LLC

  • Family Medicine Physician
  • Breaux Bridge, LA
  • NPI 1346018330
  Medicare reassignment Care Compare group Authorized official
• Warren J. Degatur, Jr. MD Inc

  • Family Medicine Physician
  • Breaux Bridge, LA
  • NPI 1568654689
  Medicare reassignment

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lafayette General Medical Center Inc

  • General Acute Care Hospital
  • Lafayette, LA
  • NPI 1275536799
  Care Compare affiliation
• St Martin Hospital, Inc.

  • Critical Access Hospital
  • Breaux Bridge, LA
  • NPI 1437482817
  Care Compare affiliation

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1659526895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 CHAMPAGNE BLVD",
            "address_2": "SUITE A",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173734",
            "telephone_number": "337-332-3500",
            "fax_number": "337-332-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 E BRIDGE ST",
            "city": "BREAUX BRIDGE",
            "state": "LA",
            "postal_code": "705173401",
            "telephone_number": "337-442-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Champagne Blvd",
            "address_purpose": "LOCATION",
            "city": "Breaux Bridge",
            "state": "LA",
            "postal_code": "705173734",
            "country_code": "US",
            "telephone_number": "337-332-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSELIER",
        "first_name": "WENDY",
        "middle_name": "CHAMPAGNE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.A10410RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA  PTAN",
            "identifier": "5C542PA79",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica M. Fontenot
• Morgan Lain Fontenot, MS, PLPC
• Micheal Frank Sr.
• Leroy J Frederick, PD
• Fuselier Healthcare Services, LLC
• Garett Thibodeaux LLC
• Skyla Gauthier
• Genesis Behavioral Hospital Inc
• Gentox Laboratories, LLC
• Gregory Lyon Glowacki, M.D.

• Medical Physician Assistant in Breaux Bridge, LA
• Providers in Breaux Bridge, LA by specialty
• Medical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; 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.

Verify at the official NPI Registry.