Andrea Wilson, FMP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

232359 Issued in LA

Practice address

740 Keyser Ave
Natchitoches, LA 71457-6037

Phone

(318) 238-5300

NPI assigned

Nov 1, 2023

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

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

Other, 2023

Medicare assignment

May accept Medicare assignment

Group practices

Carlock Enterprises LLCGroup PAC ID 3476707514, 5 clinicians

Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Allegiance Home Health of Southwest Louisiana, LLC Home health agency, Deridder, LA, CCN 197520
• Elara Caring Home health agency, Leesville, LA, CCN 197260
• Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164
• Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Carlock Enterprises LLC

  • Rural Health Clinic/Center
  • Leesville, LA
  • NPI 1649524257

  LA, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Natchitoches Parish Hospital Service District

  • General Acute Care Hospital
  • Natchitoches, LA
  • NPI 1669542346

  LA

  Medicare reassignment NPD
• Carlock Enterprises LLC

  • Primary Care Clinic/Center
  • Otis, LA
  • NPI 1437506474
  Care Compare group NPD
• Physical Therapy Services of West Louisiana Inc

  • Physical Therapist
  • Leesville, LA
  • NPI 1417916685
  Care Compare group
• Natchitoches Parish Hospital Service District

  • Rural Health Clinic/Center
  • Campti, LA
  • NPI 1093933897
  NPD

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

• Allegiance Home Health of Southwest Louisiana, LLC

  • Home Health Agency
  • Deridder, LA
  • NPI 1740844620
  Care Compare affiliation
• CLHG-Leesville

  • General Acute Care Hospital
  • Leesville, LA
  • NPI 1881665164

  Hospital

  Care Compare affiliation
• Hospital Service District No 2 of Parish of Beauregard State of la

  • Rural Acute Care Hospital
  • Deridder, LA
  • NPI 1831193499

  Hospital

  Care Compare affiliation
• Thompson Health Services, Inc.

  • Home Health Agency
  • Leesville, LA
  • NPI 1730113655
  Care Compare affiliation

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

{
    "created_epoch": "1698796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1831962901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-238-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 KEYSER AVE",
            "city": "NATCHITOCHES",
            "state": "LA",
            "postal_code": "714576037",
            "telephone_number": "318-238-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANDREA",
        "credential": "FMP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-01",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "232359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kadarius Williams
• Laronda Williams
• Myah Le'Ann Williams, BSW, MSW
• Ronnie James Williams Jr.
• Mavis C Williamson, MA, PLPC
• Carrie Maygen Wilson
• Lanae Shanice Wilson
• Rose Wilson, RAC
• Treasure Wilson
• Anissa Winder, MHS

• All providers in Natchitoches, LA
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; 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.