DUSTIN DAVID DENICOLA N.P.
NPI 1073879508
Nurse Practitioner - Adult Health in Baton Rouge, LA

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
4950 ESSEN LN, SUITE 300, BATON ROUGE, LA 70809(225) 490-8882(225) 765-9085 Get Directions Write a Review

NPPES record last updated: March 23, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dustin David Denicola N.p. NPPES

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

DUSTIN DAVID DENICOLA N.P. (NPI 1073879508) is an individual adult health provider in Baton Rouge, Louisiana, licensed in Louisiana (RN117110-AP06574) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of The Lake Regional Medical Center, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1073879508
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameDUSTIN DAVID DENICOLACredential: N.P.
Location Address4950 ESSEN LN, SUITE 300Baton Rouge, LA 70809-3738
Mailing AddressPo Box 84460Baton Rouge, LA 70884-4460 · (225) 526-6001 · Fax (225) 765-9196
Fax(225) 765-9085
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateApril 10, 2012
Last NPPES UpdateMarch 23, 2017
NPI 1073879508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in LA · RN117110-AP06574
4950 ESSEN LN, Baton Rouge, LA 70809

Other Identifiers 3

Medicaid00985562MS
Medicaid2314815LA
Medicare PIN323052YJXSLA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dustin David Denicola N.p. 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 ID2163679069
PECOS Enrollment IDI20120829000058
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.

Areas of Expertise CMS Part B claims 3

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 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.
336 services171 patients
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.
128 services112 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
104 services58 patients

Hospital Affiliations CMS Care Compare 2

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

Our Lady Of The Lake Regional Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number190064
Location5000 Hennessy BlvdBaton Rouge, LA 70808 · E. Baton Rouge County
Emergency services

Womans Hospital

Acute Care Hospitals · Baton Rouge, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190128
Location100 Woman's WayBaton Rouge, LA 70817 · E. Baton Rouge County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70809 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 20

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

Dietitian, Registered (Nutrition, Oncology)
4950 ESSEN LN
BATON ROUGE, LA 70809
Internal Medicine (Hematology & Oncology)
4950 ESSEN LN, SUITE 500
BATON ROUGE, LA 70809
Nurse Anesthetist, Certified Registered
4950 ESSEN LN, REGIONAL EYE SURGERY CENTER
BATON ROUGE, LA 70809
Nurse Practitioner (Adult Health)
4950 ESSEN LN, SUITE 300
BATON ROUGE, LA 70809
Internal Medicine (Hematology & Oncology)
4950 ESSEN LN, SUITE 300
BATON ROUGE, LA 70809
Radiology (Radiation Oncology)
4950 ESSEN LN
BATON ROUGE, LA 70809
Internal Medicine (Hematology & Oncology)
4950 ESSEN LN
BATON ROUGE, LA 70809
Internal Medicine (Hematology & Oncology)
4950 ESSEN LN, SUITE 300
BATON ROUGE, LA 70809

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 Dustin Denicola's NPI number?

The NPI number for Dustin Denicola is 1073879508. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Dustin Denicola located?

Dustin Denicola practices at 4950 Essen Ln Suite 300, Baton Rouge, LA 70809. The listed phone number is (225) 490-8882.

What is Dustin Denicola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Dustin Denicola enrolled in Medicare?

Yes. Dustin Denicola 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.

What insurance does Dustin Denicola accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Dustin Denicola 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 Dustin Denicola affiliated with any hospitals?

According to CMS data, Dustin Denicola is affiliated with Our Lady Of The Lake Regional Medical Center and Womans Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Denicola was last updated on March 23, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.