HEATHER SPALLINO DUPLECHAIN MSN, APRN, PMHNP-BC
NPI 1053898403
Nurse Practitioner - Psychiatric/Mental Health in Crowley, LA

Active since July 27, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Heather Spallino Duplechain Msn, Aprn, Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATHER SPALLINO DUPLECHAIN MSN, APRN, PMHNP-BC (NPI 1053898403) is an individual psychiatric/mental health provider in Crowley, Louisiana, licensed in Louisiana (AP10161) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS, is affiliated with Acadia General Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053898403
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameHEATHER SPALLINO DUPLECHAINCredential: MSN, APRN, PMHNP-BC
Location AddressPO BOX 205Crowley, LA 70527-0205
Mailing AddressPo Box 205Crowley, LA 70527-0205 · (337) 480-7792
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 27, 2018
Last NPPES UpdateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1053898403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in LA · AP10161
PO BOX 205, Crowley, LA 70527

Secondary Practice Locations 2

Location 11822 W 2nd StCrowley, LA 70526-4720 · Phone (337) 788-7511
Location 2302 Dulles DrLafayette, LA 70506-3008 · Phone (337) 262-4100

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Heather Spallino Duplechain Msn, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638420060
PECOS Enrollment IDI20180925002191
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Heather Duplechain reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
1822 W 2ND ST
Crowley, LA 70526
  • Reassigned Medicare billing, Louisiana enrollment
  • 42 clinicians in this Medicare group
Rural Health
904 THE BLVD STE C
Rayne, LA 70578
  • Reassigned Medicare billing, Louisiana enrollment
  • 5 clinicians in this Medicare group
Psychiatry
2829 4TH AVE STE 150
Lake Charles, LA 70601
  • Reassigned Medicare billing, Louisiana enrollment
  • 21 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
63 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Acadia General Hospital

Acute Care Hospitals · Crowley, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190044
Location1305 Crowley Rayne HighwayCrowley, LA 70526 · Acadia County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70527 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Duplechain's NPI number?

The NPI number for Heather Duplechain is 1053898403. It was assigned to this individual provider in the NPPES registry on July 27, 2018.

Where is Heather Duplechain located?

Heather Duplechain practices at PO Box 205, Crowley, LA 70527. The listed phone number is (337) 480-7792.

What is Heather Duplechain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Heather Duplechain enrolled in Medicare?

Yes. Heather Duplechain is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Heather Duplechain's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Heather Duplechain reassigns Medicare benefits to 3 organizations: Acadiana Area Human Services District (Crowley, LA), Rayne Family Healthcare, LLC (Rayne, LA) and Mmg Archer Institute, LLC (Lake Charles, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Duplechain's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Heather Duplechain accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Heather Duplechain as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Heather Duplechain affiliated with any hospitals?

According to CMS data, Heather Duplechain is affiliated with Acadia General Hospital.

When was this NPI record last updated?

The NPPES record for Heather Duplechain was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.