Individual provider Active NPI

Toni W. Roussel, FNP

  • Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1720012859
Registry record updated Apr 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP04744 Issued in LA
Practice address
10771 Perkins Rd
Baton Rouge, LA 70810-1693
Phone
(225) 256-1634
Fax
(225) 384-5402
NPI assigned
Jul 11, 2006
Last updated
Apr 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP04744 LA Primary

Addresses

Primary practice location

10771 Perkins Rd
Baton Rouge, LA 70810-1693

Mailing address

720 Lefort Bypass Rd
Thibodaux, LA 70301-6133
Phone (985) 257-0592

Other practice location 1

1645 Lutcher Ave
Lutcher, LA 70071-5150
Phone (225) 869-5512

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
I20050921000037 LA Practitioner - Nurse Practitioner 8325072242 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians
St Joseph Medical Clinic a Medical CorporationGroup PAC ID 9335189109, 3 clinicians

Practice addresses (Care Compare)

1411 Saint Charles St
Houma, LA 70360-3964
Phone (985) 709-0136

2031 Audubon Ave
Thibodaux, LA 70301-5073
Phone (985) 280-3838

602 N Acadia Rd
Thibodaux, LA 70301-5073

9808 Bluebonnet Blvd
Baton Rouge, LA 70810-6442
Phone (225) 224-8121

PO Box
Suite 69
Vacherie, LA 70090-0069

Merit-based Incentive Payment System (MIPS)

Final score
81.29 of 100Reported as group
Quality
64.64
Promoting interoperability
99
Improvement activities
40
Cost
73.84

Merit-based Incentive Payment System (MIPS)

Final score
79.49 of 100Reported as group
Quality
53.82
Promoting interoperability
99
Improvement activities
40
Cost
78.66

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04744LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Urgent Care LLC CurrentSince Oct 1, 2021 Accepting new patients
St. James Parish Hosp. Serv. Dist. Current Accepting new patients
St. James Primary Care, Apmc CurrentSince Mar 3, 2016 Accepting new patients
St James Parish Hosp Serv Dist CurrentSince Apr 1, 2016 Accepting new patients
Coastal Urgent Care, LLC CurrentSince Dec 1, 2023 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 1, 2023 Accepting new patients
C & M Medical Services, Inc. CurrentSince May 1, 2016 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 1, 2023 Accepting new patients
Thibodaux Regional Urgent Care, LLC CurrentSince Oct 1, 2021 Accepting new patients
St. James Primary Care CurrentSince Mar 17, 2006 Accepting new patients
St. James Parish Hosp Serv Dist CurrentSince Apr 1, 2016 Accepting new patients

Locations (25 of 35)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

2762 Continental Dr
Ste 201
Baton Rouge, LA 70808

9808 Bluebonnet Blvd
Baton Rouge, LA 70810
Phone (225) 224-8121

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

108 N Ezidore Ave
Gramercy, LA 70052
Phone (225) 623-9751

827 N Pine St
Gramercy, LA 70052
Phone (225) 258-9490

1411 Saint Charles St
Houma, LA 70360
Phone (985) 256-4065

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

1645 Lutcher Ave
Lutcher, LA 70071
Phone (225) 258-5901

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

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

2202 False River Dr
New Roads, LA 70760
Phone (225) 638-5702

300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501

1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806

58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/25352/brand/1/csg/1/fhir/r4
  • Direct secure messaging: toni.roussel.1@25352.direct.athenahealth.com

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587600000000",
    "number": "1720012859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 LEFORT BYPASS RD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703016133",
            "telephone_number": "985-257-0592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10771 PERKINS RD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101693",
            "telephone_number": "225-256-1634",
            "fax_number": "225-384-5402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 Lutcher Ave",
            "address_purpose": "LOCATION",
            "city": "Lutcher",
            "state": "LA",
            "postal_code": "700715150",
            "country_code": "US",
            "telephone_number": "225-869-5512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROUSSEL",
        "first_name": "TONI",
        "middle_name": "W.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2020-04-23",
        "certification_date": "2020-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP04744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.