Cherie McKeithen Bagwell, NP-C

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

RN096425AP06087 Issued in LA

Practice address

7777 Hennessy Blvd
Ste 701
Baton Rouge, LA 70808-4300

Phone

(225) 765-5864

Fax

(225) 765-2013

NPI assigned

Dec 10, 2009

Last updated

Jan 6, 2021By the provider in NPPES

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

Other identifiers 2

Electronic endpoints 2

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

Specialty

Nurse Practitioner

Education

University of South Alabama College of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Impact Network LLCGroup PAC ID 4082982210, 10 clinicians

Lallie Kemp Medical CtrGroup PAC ID 0345238903, 38 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Spine Hospital of Louisiana Hospital, Baton Rouge, LA, CCN 190266
• Surgical Specialty Center of Baton Rouge Hospital, Baton Rouge, LA, CCN 190251

Merit-based Incentive Payment System (MIPS)

Final score

91.84 of 100Reported as group

Quality

79.03

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cbagwell1647748@direct.ochsner.org

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.

• Impact Network, LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1275087033

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Lallie Kemp Medical Ctr

  dba Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
  • NPI 1558303420

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Mayfair Physician Services, LLC

  • Hospitalist Physician
  • Baton Rouge, LA
  • NPI 1831688365

  Nurse Practitioner

  Medicare reassignment NPD
• Lallie Kemp Medical Ctr

  dba Lallie Kemp Regional Medical Center

  • Critical Access Hospital
  • Independence, LA
  • NPI 1972545846
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• NMC Operating Company LLC

  dba The Spine Hospital of Louisiana

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1932204427
  Care Compare affiliation
• Surgical Specialty Center of Baton Rouge, LLC

  dba Surgical Specialty Center of Baton Rouge

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1588631311
  Care Compare affiliation

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1801125448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 701",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-5864",
            "fax_number": "225-765-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD",
            "address_2": "STE 701",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084300",
            "telephone_number": "225-765-5864",
            "fax_number": "225-765-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGWELL",
        "first_name": "CHERIE",
        "middle_name": "MCKEITHEN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-10",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "RN096425AP06087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03129730",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101072",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cbagwell15922@direct.casso.us.com",
            "affiliation": "N",
            "endpointDescription": "FMOLHS-Epic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "cbagwell15922@direct.casso.us.com",
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Ste 701",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FMOLHS FHIR URL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7777 Hennessy Blvd",
            "address_2": "Ste 701",
            "city": "Baton Rouge",
            "state": "LA",
            "country_code": "US",
            "postal_code": "708084300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Debra A Baehr, MD
• Kathleen Brooke Bagbey, RAC
• Salman Baghian, MD
• James C Bagot, M.D.
• Lindsay Bagur
• Bah Transportation LLC
• Alexis Baham
• Andrea Daniel Baham, RPH
• Tanya Williams Baham, LCSW
• Wei Bai

• Acute Care Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Acute Care Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.