Individual provider Active NPI

Janie Elizabeth Fuselier, NP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1659757706
Registry record updated Jun 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08373 Issued in LA
Practice address
1717 Oak Park Blvd FL 2
Lake Charles, LA 70601-8990
Phone
(337) 494-6799
Fax
(337) 430-6950
NPI assigned
Jul 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2022

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 AP08373 LA Primary

Addresses

Primary practice location

1717 Oak Park Blvd FL 2
Lake Charles, LA 70601-8990

Mailing address

PO Box 122152 Dept 2152
Dallas, TX 75312-2152
Phone (337) 494-2921

Other practice location 1

122 W 4th St
Dequincy, LA 70633-3508
Phone (337) 494-3278

Other practice location 2

913 E Kent Dr
Sulphur, LA 70663-5007
Phone (337) 527-3610

Other practice location 3

109 W 4th St
Deridder, LA 70634-4849
Phone (337) 494-3278

Other practice location 4

1322 Elton Rd Ste P
Jennings, LA 70546-4100
Phone (337) 494-3278

Other identifiers 2

IdentifierTypeStateIssuer
AP08373OtherLASTATE LICENSE
2408828MedicaidLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hvc@mmg.imed.phimailbox.com Direct

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
I20160125002218 LA Practitioner - Nurse Practitioner 2466755418 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Charles Memorial Heart and Vascular CenterGroup PAC ID 4082689914, 15 clinicians

Practice addresses (Care Compare)

1717 Oak Park Blvd
FL 2
Lake Charles, LA 70601-8990
Phone (337) 494-3278

Hospital & facility affiliations

  • Lake Charles Memorial Hospital Hospital, Lake Charles, LA, CCN 190060

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Charles Memorial Heart and Vascular Center CurrentSince Nov 24, 2020 Accepting new patients
Professional Emergency Medicine Management -- Lake Charles LLC CurrentSince Sep 16, 2017 Accepting new patients
Cardiovascular Specialists of Southwest Louisiana, LLC Past Accepting new patients

Locations

122 W 4th St
Dequincy, LA 70633
Phone (337) 401-4920

109 W 4th St
Deridder, LA 70634
Phone (337) 221-3004

1322 Elton Rd
Ste E
Jennings, LA 70546
Phone (337) 783-5559

1322 Elton Rd
Ste P
Jennings, LA 70546
Phone (337) 494-3278

1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000

1717 Oak Park Blvd
Fl 2
Lake Charles, LA 70601
Phone (337) 474-5092

913 E Kent Dr
Sulphur, LA 70663
Phone (337) 494-3278

Interoperability endpoints

  • Direct secure messaging: jfuselier5281980@direct.casso.us.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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1659757706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122152 DEPT 2152",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753122152",
            "telephone_number": "337-494-2921",
            "fax_number": "337-494-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 OAK PARK BLVD FL 2",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706018990",
            "telephone_number": "337-494-6799",
            "fax_number": "337-430-6950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "122 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dequincy",
            "state": "LA",
            "postal_code": "706333508",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "913 E Kent Dr",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635007",
            "country_code": "US",
            "telephone_number": "337-527-3610",
            "fax_number": "337-527-6063",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706344849",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1322 Elton Rd Ste P",
            "address_purpose": "LOCATION",
            "city": "Jennings",
            "state": "LA",
            "postal_code": "705464100",
            "country_code": "US",
            "telephone_number": "337-494-3278",
            "fax_number": "337-494-3240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUSELIER",
        "first_name": "JANIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-30",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP08373",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2408828",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hvc@mmg.imed.phimailbox.com",
            "affiliation": "N",
            "endpointDescription": "DIRECT EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1717 Oak Park Blvd Fl 2",
            "city": "Lake Charles",
            "state": "LA",
            "country_code": "US",
            "postal_code": "706018990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.