MADISON THERIOT LESTAGE FNP-C
NPI 1174468995
Nurse Practitioner in Vinton, LA

Q: What is Madison Lestage's NPI number?

The NPI number for Madison Lestage is 1174468995. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Q: What is Madison Lestage's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Madison Lestage was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 20, 2026PECOS Enrolled

1311 HORRIDGE ST, VINTON, LA 70668(337) 324-8060 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Madison Theriot Lestage Fnp-c NPPES

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

MADISON THERIOT LESTAGE FNP-C (NPI 1174468995) is an individual nurse practitioner in Vinton, Louisiana, licensed in Louisiana (206785) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1174468995

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMADISON THERIOT LESTAGECredential: FNP-C

Location Address1311 HORRIDGE STVinton, LA 70668-4531

Mailing Address212 Orchard DrLake Charles, LA 70605-4444 · (337) 965-6984

Phone(337) 324-8060

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 20, 2026

NPPES CertifiedApril 20, 2026

✔ NPI 1174468995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in LA · 206785

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1311 HORRIDGE ST, Vinton, LA 70668

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Theriot Lestage Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810467354

PECOS Enrollment IDI20260526004069

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 Reassignment

Medicare enrollment records show Madison Lestage reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thibodeaux Medical Clinic, LLC

Same address

Family Medicine

1303 HORRIDGE ST
Vinton, LA 70668

Reassigned Medicare billing, Louisiana enrollment
4 clinicians in this Medicare group

NPI 1689224321 (337) 324-8060

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

Hospital Affiliations CMS Care Compare

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

West Calcasieu Cameron Hospital

Acute Care Hospitals · Sulphur, LA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190013

Location701 East Cypress StreetSulphur, LA 70663 · Calcasieu County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70668 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 Madison Lestage's NPI number?

The NPI number for Madison Lestage is 1174468995. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Madison Lestage located?

Madison Lestage practices at 1311 Horridge St, Vinton, LA 70668. The listed phone number is (337) 324-8060.

What is Madison Lestage's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Madison Lestage enrolled in Medicare?

Yes. Madison Lestage is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Madison Lestage's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Lestage reassigns Medicare benefits to Thibodeaux Medical Clinic, LLC (Vinton, LA). The 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 Madison Lestage's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Lestage accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Madison Lestage 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 Madison Lestage affiliated with any hospitals?

According to CMS data, Madison Lestage is affiliated with West Calcasieu Cameron Hospital.

When was this NPI record last updated?

The NPPES record for Madison Lestage was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.