JACOB M THERIOT FNP-C
NPI 1548871577
Nurse Practitioner - Family in Lake Charles, LA

Active since August 13, 2020PECOS EnrolledAccepts Medicare Assignment
4345 NELSON RD STE 101, LAKE CHARLES, LA 70605(337) 480-7942(337) 480-7964 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 26, 2022, Aug 12, 2022, Aug 13, 2020 (3 updates tracked since 2020).

About Jacob M Theriot Fnp-c NPPES

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

JACOB M THERIOT FNP-C (NPI 1548871577) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (210780) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Lake Charles Memorial Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548871577
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJACOB M THERIOTCredential: FNP-C
Location Address4345 NELSON RD STE 101Lake Charles, LA 70605-4183
Mailing AddressPo Box 122165 Dept 2165Dallas, TX 75312-2165 · (337) 494-2921 · Fax (337) 494-6523
Fax(337) 480-7964
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 13, 2020
Last NPPES UpdateSeptember 26, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2022
NPI 1548871577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in LA · 210780
Also ListedNurse PractitionerTaxonomy 363L00000X · License 210780 (LA)
4345 NELSON RD STE 101, Lake Charles, LA 70605

Other Identifiers 3

Medicaid3449382LA
OtherRN138165LA · Rn
Other210780LA · Certified Nurse Practitioner

Accepted 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

Jacob M Theriot 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 ID8325464274
PECOS Enrollment IDI20200821002548
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
460 services71 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
100 services68 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
92 services65 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
65 services52 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
57 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
40 services40 patients

Hospital Affiliations CMS Care Compare

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

Lake Charles Memorial Hospital

Acute Care Hospitals · Lake Charles, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190060
Location1701 Oak Park BlvdLake Charles, LA 70601 · Calcasieu County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 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 4

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

Orthopaedic Surgery
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605
Nurse Practitioner (Family)
4345 NELSON RD STE 101
LAKE CHARLES, LA 70605

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 Jacob Theriot's NPI number?

The NPI number for Jacob Theriot is 1548871577. It was assigned to this individual provider in the NPPES registry on August 13, 2020.

Where is Jacob Theriot located?

Jacob Theriot practices at 4345 Nelson Rd Ste 101, Lake Charles, LA 70605. The listed phone number is (337) 480-7942.

What is Jacob Theriot's specialty?

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

Is Jacob Theriot enrolled in Medicare?

Yes. Jacob Theriot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jacob Theriot accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 3 other insurers list Jacob Theriot 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 Jacob Theriot affiliated with any hospitals?

According to CMS data, Jacob Theriot is affiliated with Lake Charles Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Theriot was last updated on September 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.