Active NPI
Michael Rhett Dupuis, CRNA
- Certified Registered Nurse Anesthetist
- Mamou, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN039651
- Practice address
- 801 Poinciana Ave
Mamou, LA 70554-2243 - Phone
- (337) 468-0152
- Fax
- (337) 468-0451
- NPI assigned
- May 1, 2006
- Last updated
- Feb 24, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN039651 | LA | Primary |
Addresses
Primary practice location
801 Poinciana Ave
Mamou, LA 70554-2243
Mailing address
1353 Oberlin Rd
Mamou, LA 70554-4210
Phone (337) 468-5888
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1398853 | Medicaid | LA | |
| 298775ZJR7 | Other | LA | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
417 E Lincoln Rd
Suite a Fontenot Family Clinic
Ville Platte, LA 70586-3431
Phone (337) 363-5446
800 E Main St
Ville Platte, LA 70586-4618
Phone (337) 363-5684
801 Poinciana Ave
Mamou, LA 70554-2243
Phone (337) 468-5261
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN039651 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Ville Platte LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| CLHG-Ville Platte LLC | Current | Accepting new patients | |
| Savoy Medical Management Group, Inc. | Current | Accepting new patients | |
| Savoy Medical Management Group, Inc. | Current | Accepting new patients | |
| Savoy Medical Management Group, Inc. | Past | Accepting new patients | |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients |
Locations
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
801 Poinciana Ave
Mamou, LA 70554
Phone (337) 457-5740
800 E Main St
Ville Platte, LA 70586
Phone (337) 363-5684
Organizations & group practices 6
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.
-
dba Mercy Regional Medical Center
- Anesthesiology Physician
- Ville Platte, LA
- NPI 1285811927
Nurse Anesthetist, Certified Registered
-
dba Savoy Medical Center Hospital Based Physicians
- Internal Medicine Physician
- Mamou, LA
- NPI 1477882033
-
dba St Landry Family Healthcare
- Rural Health Clinic/Center
- Washington, LA
- NPI 1376911735
-
dba Savoy Surgical Services
- Specialist
- Mamou, LA
- NPI 1851662340
-
dba Lafayette Anesthesia Services
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
dba Savoy Medical Center
- General Acute Care Hospital
- Mamou, LA
- NPI 1255667002
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Regional Medical Center
- General Acute Care Hospital
- Ville Platte, LA
- NPI 1407947336
-
dba Savoy Medical Center
- General Acute Care Hospital
- Mamou, LA
- NPI 1255667002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487894400000",
"number": "1730146879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1353 OBERLIN RD",
"city": "MAMOU",
"state": "LA",
"postal_code": "705544210",
"telephone_number": "337-468-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 POINCIANA AVE",
"city": "MAMOU",
"state": "LA",
"postal_code": "705542243",
"telephone_number": "337-468-0152",
"fax_number": "337-468-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPUIS",
"first_name": "MICHAEL",
"middle_name": "RHETT",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2017-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN039651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1398853",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "298775ZJR7",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mamou, LA
- Robin Mark Deshotel, RPH
- Deshotels Drugs, Inc
- Mary Amelia Duncan, APRN, FNP-BC
- Dungarvin Louisiana, LLC
- Christina Duplechin, SLP
- Elvin Reed & Phyllis Vidrine (Reed's Pharmacy)
- Eric Fontenot MD Internal Medicine Group L.L.C.
- Evangeline Clinical Services, Inc. (Savoy Emergency Room Physician Group)
- Evangeline Emeregency Group LLC
- FLS LLC (Savoy Care Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.