Angelina Hennigan, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

328719 Issued in LA

Practice address

340 N Highway 171 Ste B
Lake Charles, LA 70611-5345

Phone

(337) 419-0040

Fax

(337) 528-2034

NPI assigned

Sep 24, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Physician Assistant

Education

Louisiana State University School of Medicine in Shreveport, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Great River Orthopedic and Sports Medicine Center IncGroup PAC ID 4385871862, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: angelinahennigan@tpcsl.allscriptsdirect.net

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.

• Great River Orthopedic and Sports Medicine Center, Inc.

  • Orthopaedic Surgery Physician
  • Leesville, LA
  • NPI 1760887673
  Care Compare group
• Sulphur Pediatric Clinic Medical Corporation

  • Pediatrics Physician
  • Sulphur, LA
  • NPI 1821042086
  NPD (past)

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

{
    "created_epoch": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632441600000",
    "number": "1730850116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 N MENNONITE RD",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706346849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N HIGHWAY 171 STE B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115345",
            "telephone_number": "337-419-0040",
            "fax_number": "337-528-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Cypress St",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635052",
            "country_code": "US",
            "telephone_number": "337-527-6371",
            "fax_number": "337-528-2034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706055916",
            "country_code": "US",
            "telephone_number": "337-477-0935",
            "fax_number": "337-528-2034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNIGAN",
        "first_name": "ANGELINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2021-09-24",
        "certification_date": "2021-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "328719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P Heinen, MD
• Helping Hands Counseling, Inc
• Jackson Helton
• Lance Henagan, NP
• Latonya Henderson
• Jeffery Allen Hennigan, D.D.S.
• Hillary Henning, MS
• Barry J Henry, M.D.
• Lauren Henry
• Shelby Rose Henssler-Viga, CRNA

• Physician Assistant in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.