Individual provider Active NPI

Angela Craig, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1902288095
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP08365 Issued in LA
Practice address
402 W 8TH St
Deridder, LA 70634-5508
Phone
(337) 401-4686
Fax
(337) 419-0794
NPI assigned
Jun 24, 2015
Last updated
Mar 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP08365 LA Primary

Addresses

Primary practice location

402 W 8TH St
Deridder, LA 70634-5508

Mailing address

402 W 8TH Street
Deridder, LA 70634
Phone (337) 401-4686

Other practice location 1

2802 Hodges St
Lake Charles, LA 70601-7368
Phone (337) 419-1873

Other practice location 2

113 Blue Ridge Rd
Deridder, LA 70634-6038
Phone (337) 221-3040

Other identifiers 1

IdentifierTypeStateIssuer
2401831MedicaidLA

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
I20150929002836 LA Practitioner - Nurse Practitioner 4587972260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forefront Telecare IncGroup PAC ID 9638319114, 29 clinicians
Ab Craig Aprn LLCGroup PAC ID 5395085641, 3 clinicians

Practice addresses (Care Compare)

125 Turner St Unit
14 Mary Anna Nursing Home
Wisner, LA 71378
Phone (972) 449-0540

402 W 8TH St
Abc Wellness Group
Deridder, LA 70634-5508
Phone (337) 401-4686

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Telecare Inc CurrentSince Sep 1, 2023 Accepting new patients
Ab Craig Aprn LLC Psychiatric/Mental Health CurrentSince Aug 31, 2015 Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Aug 15, 2015 Accepting new patients
Imperial Calcasieu Human Services Authority Current Accepting new patients
Imperial Calcasieu Human Services Authority CurrentSince Aug 15, 2015 Accepting new patients
Elite Medical Wellness LLC Past Accepting new patients
Bayou Mental Health of Alexandria and Deridder PastSince May 30, 2016 Accepting new patients

Locations

106 W Port St
Deridder, LA 70634
Phone (337) 462-1354

402 W 8th St
Deridder, LA 70634
Phone (337) 401-4686

187 Ninth St
Jena, LA 71342
Phone (318) 992-9200

437 N Market St
Jennings, LA 70546
Phone (337) 246-7325

4105 Kirkman St
Lake Charles, LA 70607
Phone (337) 475-3100

145 Hospital Dr
Oakdale, LA 71463
Phone (337) 639-3001

402 Industrial Dr
Oberlin, LA 70655
Phone (337) 639-3000

2651 E Napoleon St
Sulphur, LA 70663
Phone (337) 475-3100

Interoperability endpoints

  • Direct secure messaging: angela.craig.1@24287.direct.athenahealth.com

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.

Hospital & facility affiliations 1

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1902288095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W 8TH STREET",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-401-4686",
            "fax_number": "337-419-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W 8TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706345508",
            "telephone_number": "337-401-4686",
            "fax_number": "337-419-0794"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2802 Hodges St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706017368",
            "country_code": "US",
            "telephone_number": "337-419-1873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "113 Blue Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Deridder",
            "state": "LA",
            "postal_code": "706346038",
            "country_code": "US",
            "telephone_number": "337-221-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "ANGELA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "AP08365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2401831",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.