MR. KOLLIN JAMES MOUTON MSN, APRN, FNP-C
NPI 1366167801
Nurse Practitioner - Family in Lafayette, LA

Active since October 06, 2022PECOS EnrolledAccepts Medicare Assignment
118 RUE FONTAINE, LAFAYETTE, LA 70508(337) 534-8680(337) 769-9934 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Kollin James Mouton Msn, Aprn, Fnp-c NPPES

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

MR. KOLLIN JAMES MOUTON MSN, APRN, FNP-C (NPI 1366167801) is an individual family provider in Lafayette, Louisiana, licensed in Louisiana (227231) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366167801
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. KOLLIN JAMES MOUTONCredential: MSN, APRN, FNP-C
Location Address118 RUE FONTAINELafayette, LA 70508-5745
Mailing Address118 Rue FontaineLafayette, LA 70508-5745 · (337) 534-8680 · Fax (337) 769-9934
Fax(337) 769-9934
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 6, 2022
NPPES CertifiedOctober 6, 2022
NPI 1366167801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · 227231
118 RUE FONTAINE, Lafayette, LA 70508

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

Mr. Kollin James Mouton Msn, Aprn, Fnp-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 ID8729459235
PECOS Enrollment IDI20230120000315
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70508 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 2

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

Physician Assistant
118 RUE FONTAINE
LAFAYETTE, LA 70508
Physician Assistant (Surgical)
118 RUE FONTAINE
LAFAYETTE, LA 70508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366167801, enumerated as an "individual" on October 06, 2022.

The provider is located at 118 RUE FONTAINE LAFAYETTE, LA 70508 and the phone number is (337) 534-8680.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.