LAKE CHARLES PRIMARY CARE AND WELLNESS
NPI 1083306815
Family Medicine in Lake Charles, LA
About Lake Charles Primary Care And Wellness NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAKE CHARLES PRIMARY CARE AND WELLNESS (NPI 1083306815) is a healthcare organization registered as a family medicine in Lake Charles, Louisiana and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Melvin Marque, Owner / Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lake Charles Primary Care And Wellness is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Lake Charles Primary Care And Wellness, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 19D2284176
Lake Charles Primary Care And Wellness, LLC · Lake Charles, LAFrequently 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 Lake Charles Primary Care And Wellness's NPI number?
The NPI number for Lake Charles Primary Care And Wellness is 1083306815. It was assigned to this organization in the NPPES registry on May 22, 2023.
Where is Lake Charles Primary Care And Wellness located?
Lake Charles Primary Care And Wellness is located at 1905 Country Club Rd Ste B, Lake Charles, LA 70605. The listed phone number is (337) 990-8002.
What is Lake Charles Primary Care And Wellness's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Lake Charles Primary Care And Wellness enrolled in Medicare?
Yes. Lake Charles Primary Care And Wellness is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Lake Charles Primary Care And Wellness?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Lake Charles Primary Care And Wellness. A 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 the clinician's services. The largest specialties are Nurse Practitioner (5) and Emergency Medicine (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Lake Charles Primary Care And Wellness hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2284176) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Lake Charles Primary Care And Wellness accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Lake Charles Primary Care And Wellness 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.
When was this NPI record last updated?
The NPPES record for Lake Charles Primary Care And Wellness was last updated on June 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Lake Charles Primary Care And Wellness · NPI 1083306815
Family Medicine organization in Lake Charles, Louisiana. Organization record, active in the CMS NPPES registry since May 22, 2023.
## Identity
- **NPI:** 1083306815 (Entity type: Organization)
- **Enumerated:** May 22, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Melvin Marque, OWNER / MEDICAL DIRECTOR
## Practice location
- **Address:** 1905 COUNTRY CLUB RD STE B, Lake Charles, LA 70605-5203
- **Phone:** (337) 990-8002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 6 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (5), Emergency Medicine (1); 1 practice at this address and 6 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 26, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1083306815) · Data from the CMS NPPES public registry.