Individual provider Active NPI

Kasie Carin Nix, ANP-C

  • Adult Health Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1982910014
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP06108 Issued in LA
Practice address
1614 Wolf Cir
Lake Charles, LA 70605-2348
Phone
(337) 478-9653
NPI assigned
Aug 26, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X AP06108 LA Primary

Addresses

Primary practice location

1614 Wolf Cir
Lake Charles, LA 70605-2348

Mailing address

PO Box 1786
Lake Charles, LA 70602-1786
Phone (337) 478-9653

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
I20110223000171 LA Practitioner - Nurse Practitioner 9234310335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
LCMS Neurosurgical Institute of Lake Charles LLCGroup PAC ID 8224189758, 10 clinicians
Physical Therapy Services of West Louisiana IncGroup PAC ID 0446388763, 92 clinicians

Practice addresses (Care Compare)

1614 Wolf Cir
Lake Charles, LA 70605-2348
Phone (337) 478-9653

301 W Fertitta Blvd
Suite 4
Leesville, LA 71446-4665
Phone (337) 238-9931

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Neurosurgical and Spine Disorders, LLC Single Specialty CurrentSince May 30, 2012 Accepting new patients
LCMS Neurosurgical Institute of Lake Charles LLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
Lake Charles Medical Services Single Specialty Past Accepting new patients

Locations

2770 3rd Ave
Ste 100
Lake Charles, LA 70601
Phone (337) 494-4720

1614 Wolf Cir
Lake Charles, LA 70605
Phone (337) 478-9653

1717 Oak Park Blvd
Fl 3
Lake Charles, LA 70601
Phone (337) 494-4900

Interoperability endpoints

  • Direct secure messaging: kasie.nix.1@31885.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1982910014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1786",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706021786",
            "telephone_number": "337-478-9653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 WOLF CIR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706052348",
            "telephone_number": "337-478-9653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "KASIE",
        "middle_name": "CARIN",
        "name_prefix": "Mrs.",
        "credential": "ANP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-26",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.