Individual provider Active NPI

Shawn Michelle Wright, FNP

  • Family Nurse Practitioner
  • Leesville, LA
National Provider Identifier
1669214292
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235853 Issued in LA
Practice address
1106 Port Arthur Ter
Leesville, LA 71446-4643
Phone
(337) 404-4075
NPI assigned
Jun 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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 235853 LA Primary

Addresses

Primary practice location

1106 Port Arthur Ter
Leesville, LA 71446-4643

Mailing address

1106 Port Arthur Ter
Leesville, LA 71446-4643
Phone (337) 404-4075

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
I20241113000043 LA Practitioner - Nurse Practitioner 9436683554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians
Great River Orthopedic and Sports Medicine Center IncGroup PAC ID 4385871862, 6 clinicians
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, shared by 7 NPIs, 135 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

103 W University Pkwy
Leesville, LA 71446-4734
Phone (337) 239-2600

1106 Port Arthur Ter
Leesville, LA 71446-4643
Phone (337) 404-4075

160 San Antonio Ave
Many, LA 71449-3009
Phone (318) 353-3412

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
235853LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great River Orthopedic and Sports Medicine Center, Inc. CurrentSince Aug 29, 2024 Accepting new patients
Great River Orthopedic and Sports Medicine Center, Inc. CurrentSince Aug 29, 2024 Accepting new patients

Locations

801 W Bayou Pines Dr
Lake Charles, LA 70601
Phone (337) 439-3205

103 W University Pkwy
Leesville, LA 71446
Phone (337) 239-2600

1106 Port Arthur Ter
Leesville, LA 71446
Phone (337) 404-4075

376 Cocoville Rd
Mansura, LA 71350
Phone (318) 542-4821

Organizations & group practices 5

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 4

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": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1669214292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464643",
            "telephone_number": "337-404-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 PORT ARTHUR TER",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464643",
            "telephone_number": "337-404-4075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "SHAWN",
        "middle_name": "MICHELLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.