Individual provider Active NPI

Anne Marie Walton, FNP-C

  • Family Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1891386561
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
218398 Issued in LA
Practice address
1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636
Phone
(337) 232-6697
NPI assigned
Jan 26, 2021
Last updated
Jan 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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 218398 LA Primary

Addresses

Primary practice location

1211 Coolidge Blvd Ste 303
Lafayette, LA 70503-2636

Mailing address

100 Duncan Cir
Lafayette, LA 70503-4729
Phone (318) 452-3978

Other identifiers 1

IdentifierTypeStateIssuer
218398OtherLALOUISIANA STATE BOARD OF NURSING

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
I20210310001669 LA Practitioner - Nurse Practitioner 9638585060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Louisiana Gastroenterology Associates LLCGroup PAC ID 4789079781, 28 clinicians

Practice addresses (Care Compare)

1211 Coolidge Blvd
Suite 303
Lafayette, LA 70503-2636
Phone (337) 232-6697

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Gastroenterology Associates LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

118 N Hospital Dr
Fl 3
Abbeville, LA 70510
Phone (337) 893-3002

2621 North Dr
Ste B
Abbeville, LA 70510
Phone (337) 898-1860

1555 Gary Dr
#B
Breaux Bridge, LA 70517
Phone (337) 233-9900

711 N Montgomery Ave
Kaplan, LA 70548
Phone (318) 643-1747

1211 Coolidge Blvd
#303
Lafayette, LA 70503
Phone (334) 232-6697

1211 Coolidge Blvd
Ste 303
Lafayette, LA 70503

1211 Coolidge Blvd
Ste 400
Lafayette, LA 70503
Phone (337) 234-3278

439 Heymann Blvd
Lafayette, LA 70503
Phone (337) 269-0963

Interoperability endpoints

  • Direct secure messaging: awalton131014@direct.casso.us.com

Organizations & group practices 1

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 6

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1891386561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DUNCAN CIR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705034729",
            "telephone_number": "318-452-3978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE BLVD STE 303",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032636",
            "telephone_number": "337-232-6697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTON",
        "first_name": "ANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "218398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LOUISIANA STATE BOARD OF NURSING",
            "identifier": "218398",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.