1. Home
  2. Directory
  3. Louisiana
  4. Lake Charles
  5. Nurse Practitioner
  6. NPI Profile

WYLIE BARHAM CNP
NPI 1063351245
Nurse Practitioner - Psychiatric/Mental Health in Lake Charles, LA

Active since March 25, 2026PECOS Enrolled
748 BAYOU PINES EAST DR STE C, LAKE CHARLES, LA 70601(337) 602-1462 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wylie Barham Cnp NPPES

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

WYLIE BARHAM CNP (NPI 1063351245) is an individual psychiatric/mental health provider in Lake Charles, Louisiana, licensed in Louisiana (245658) and active in the NPI registry since March 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063351245
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameWYLIE BARHAMCredential: CNP
Location Address748 BAYOU PINES EAST DR STE CLake Charles, LA 70601-7596
Mailing Address748 Bayou Pines East Dr Ste CLake Charles, LA 70601-7596 · (337) 602-1462
Phone(337) 602-1462
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 25, 2026
NPPES CertifiedMarch 25, 2026
✔ NPI 1063351245 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 · 245658
748 BAYOU PINES EAST DR STE C, Lake Charles, LA 70601
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wylie Barham Cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072081736
PECOS Enrollment IDI20260511003716
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DYER PSYCHIATRIC SERVICES
Nurse Practitioner (Psychiatric/Mental Health)
748 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 422-6731
MR. ERIC COLEMAN APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
748 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 602-1462
MS. MICHELLE TRAHAN DYER APRN, APMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
748 BAYOU PINES EAST DR STE C
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 602-1462

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 Wylie Barham's NPI number?

The NPI number for Wylie Barham is 1063351245. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Where is Wylie Barham located?

Wylie Barham practices at 748 Bayou Pines East Dr Ste C, Lake Charles, LA 70601. The listed phone number is (337) 602-1462.

What is Wylie Barham's specialty?

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

Is Wylie Barham enrolled in Medicare?

Yes. Wylie Barham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Wylie Barham was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.