Individual provider Active NPI

Michael Rhett Dupuis, CRNA

  • Certified Registered Nurse Anesthetist
  • Mamou, LA
National Provider Identifier
1730146879
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN039651 Issued in LA
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, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1398853MedicaidLA
298775ZJR7OtherLAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041005000251 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8224097464 Reassigns benefits to 2 organizations

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
CLHG-Ville Platte LLCGroup PAC ID 4486903309, 41 clinicians

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

LicenseStateTypeSpecialty
RN039651LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ville Platte LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2022 Accepting new patients
CLHG-Ville Platte LLC CurrentSince Jan 1, 2022 Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Jul 12, 2014 Accepting new patients
Savoy Medical Management Group, Inc. CurrentSince Jul 12, 2014 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.

Hospital & facility affiliations 2

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": "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

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.

Verify at the official NPI Registry.