Individual provider Active NPI

Charles Wayne Hill III, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1891294146
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09752 Issued in LA
Practice address
5000 Hennessy Blvd
Baton Rouge, LA 70808-4375
Phone
(225) 926-8686
NPI assigned
Feb 1, 2018
Last updated
Feb 1, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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 AP09752 LA Primary

Addresses

Primary practice location

5000 Hennessy Blvd
Baton Rouge, LA 70808-4375

Mailing address

17486A Tangi Lake Ext
Hammond, LA 70403-0236

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180216001440 LA Practitioner - Nurse Practitioner 6305106188 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
In and Out Urgent Care of Metairie, LLCGroup PAC ID 7214209964, 10 clinicians
In and Out Urgent Care Covington, LLCGroup PAC ID 0143574426, 15 clinicians
In and Out Urgent Care LLCGroup PAC ID 5991937054, 8 clinicians

Practice addresses (Care Compare)

100 N Labarre Rd
Suite C
Metairie, LA 70001-7214
Phone (504) 827-1717

13130 Hwy 1085
Covington, LA 70433-6835
Phone (985) 261-0261

6225 S Claiborne Ave
New Orleans, LA 70125-4105
Phone (504) 864-8080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
In and Out Urgent Care Covington, LLC CurrentSince Sep 15, 2023 Accepting new patients
In and Out Urgent Care of Metairie, LLC CurrentSince Sep 15, 2023 Accepting new patients
Washington Parish Emergency Physicians Group LLC CurrentSince Jan 8, 2018 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Sep 15, 2023 Accepting new patients
Foucher Emergency Group LLC CurrentSince Jan 18, 2019 Accepting new patients
St Tammany Emergency Physicians Group LLC CurrentSince Mar 17, 2023 Accepting new patients
Professional Emergency Physician Associates, LLC CurrentSince May 15, 2018 Accepting new patients

Locations

Dept AT952639
Atlanta, GA 31192

5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050

433 Plaza St
Bogalusa, LA 70427
Phone (985) 730-6700

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

13130 Highway 1085
Covington, LA 70433
Phone (985) 261-0261

716 W 21st Ave
Covington, LA 70433

2929 Highway 190
Mandeville, LA 70471
Phone (985) 773-1550

925 Highway 59
Ste 400
Mandeville, LA 70448
Phone (985) 200-3307

100 N Labarre Rd
Ste C
Metairie, LA 70001
Phone (504) 827-1717

3300 N Causeway Blvd
Metairie, LA 70002
Phone (504) 370-5005

1401 Foucher St
New Orleans, LA 70115
Phone (504) 897-7011

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1891294146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17486A TANGI LAKE EXT",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704030236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 HENNESSY BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084375",
            "telephone_number": "225-926-8686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-01",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.