TINA CAUDLE PRICE MSN, AGNP-C
NPI 1255617007
Nurse Practitioner - Family in Shreveport, LA

Q: What is Tina Price's NPI number?

The NPI number for Tina Price is 1255617007. It was assigned to this individual provider in the NPPES registry on October 25, 2011.

Q: What is Tina Price's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Tina Price was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 October 25, 2011PECOS EnrolledAccepts Medicare Assignment

1541 KINGS HWY, SHREVEPORT, LA 71103(318) 626-0000 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2016, Mar 23, 2016 (2 updates tracked since 2016).

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About Tina Caudle Price Msn, Agnp-c NPPES

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

TINA CAUDLE PRICE MSN, AGNP-C (NPI 1255617007) is an individual family provider in Shreveport, Louisiana, licensed in Louisiana (226256) and active in the NPI registry since October 2011. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1255617007

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTINA CAUDLE PRICECredential: MSN, AGNP-C

Location Address1541 KINGS HWYShreveport, LA 71103-4228

Mailing Address8001 Youree Dr Ste 800Shreveport, LA 71115-2353 · (318) 212-2729 · Fax (318) 212-2760

Phone(318) 626-0000

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateOctober 25, 2011

Last NPPES UpdateJanuary 13, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2025

✔ NPI 1255617007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · 226256

Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 569299 (TX)

Also ListedNurse PractitionerTaxonomy 363L00000X · License AP130610 (TX)

1541 KINGS HWY, Shreveport, LA 71103

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Tina Caudle Price Msn, Agnp-c 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 ID3678768835

PECOS Enrollment IDI20221129002741

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.

Hospital Affiliations CMS Care Compare

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

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190111

Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71103 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.

PRATIK AGRAWAL

Internal Medicine (Cardiovascular Disease)