NPIMap

Individual provider Active NPI

Lance Waldmeier

  • Family Nurse Practitioner
  • Vinton, LA
National Provider Identifier
1750386140
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP03585 Issued in LA
Practice address
1611 Hampton St
Vinton, LA 70668-3707
Phone
(337) 589-5951
Fax
(337) 589-4031
NPI assigned
Jun 14, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 AP03585 LA Primary

Addresses

Primary practice location

1611 Hampton St
Vinton, LA 70668-3707

Mailing address

1611 Hampton St
Vinton, LA 70668-3707
Phone (337) 589-5951

Other identifiers 1

IdentifierTypeStateIssuer
1439681MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050513000437 LA Practitioner - Nurse Practitioner 9032150677 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 Hampton St
Vinton, LA 70668-3707
Phone (337) 589-5951

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP03585LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District Current Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jul 1, 2015 Accepting new patients
Calcasieu Cameron Hospital Service District CurrentSince Jul 1, 2015 Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients
Calcasieu Cameron Hospital Service District Past Accepting new patients

Locations

6240 Gulf Beach Hwy
Cameron, LA 70631
Phone (337) 569-2245

1020 Main St
Hackberry, LA 70645
Phone (337) 762-3762

701 Cypress St
Sulphur, LA 70663
Phone (337) 527-4270

703 Cypress St
Ste A
Sulphur, LA 70663
Phone (337) 310-0395

920 1st Ave
Sulphur, LA 70663
Phone (337) 527-6301

1611 Hampton St
Vinton, LA 70668
Phone (337) 589-5951

Interoperability endpoints

  • Direct secure messaging: lancewaldmeier@wcchs.allscriptsdirect.net

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 8

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": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750386140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 HAMPTON ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706683707",
            "telephone_number": "337-589-5951",
            "fax_number": "337-589-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 HAMPTON ST",
            "city": "VINTON",
            "state": "LA",
            "postal_code": "706683707",
            "telephone_number": "337-589-5951",
            "fax_number": "337-589-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMEIER",
        "first_name": "LANCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP03585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439681",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vinton, LA

Sources for this page

Verify at the official NPI Registry.