DUPRE MEDICAL CLINIC
NPI 1164995742
Clinic/Center - Rural Health in Ville Platte, LA
About Dupre Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUPRE MEDICAL CLINIC (NPI 1164995742) is a healthcare organization registered as a rural health in Ville Platte, Louisiana and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Kelli Vidrine, Billing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dupre Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Dupre Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 19D2161662
Anna Fontenot Medical Centr, LLC · Ville Platte, 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 Anna Fontenot Medical Center LLC's NPI number?
The NPI number for Anna Fontenot Medical Center LLC is 1164995742. It was assigned to this organization in the NPPES registry on January 7, 2019. The provider is doing business as Dupre Medical Clinic.
Where is Anna Fontenot Medical Center LLC located?
Anna Fontenot Medical Center LLC is located at 1008 W Main St, Ville Platte, LA 70586. The listed phone number is (337) 363-5531.
What is Anna Fontenot Medical Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Anna Fontenot Medical Center LLC enrolled in Medicare?
Yes. Anna Fontenot Medical Center LLC is registered in the Medicare PECOS enrollment system.
When is Anna Fontenot Medical Center LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Anna Fontenot Medical Center LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Anna Fontenot Medical Center LLC, in General Practice and Nurse Practitioner. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Anna Fontenot Medical Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 19D2161662) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Anna Fontenot Medical Center LLC accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Anna Fontenot Medical Center LLC 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 Anna Fontenot Medical Center LLC was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dupre Medical Clinic · NPI 1164995742
Rural Health organization in Ville Platte, Louisiana. Organization record, active in the CMS NPPES registry since January 7, 2019.
## Identity
- **NPI:** 1164995742 (Entity type: Organization)
- **Enumerated:** January 7, 2019
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Anna Fontenot Medical Center Llc
- **Organization subpart:** No
- **Authorized official:** Kelli Vidrine, BILLING MANAGER
## Practice location
- **Address:** 1008 W MAIN ST, Ville Platte, LA 70586-4208
- **Phone:** (337) 363-5531
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Louisiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Practice (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 19, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1164995742) · Data from the CMS NPPES public registry.