MR. TED ETELL FONTENOT ANP
NPI 1598052052
Nurse Practitioner - Adult Health in Lake Charles, LA

Q: What is Ted Fontenot's NPI number?

The NPI number for Ted Fontenot is 1598052052. It was assigned to this individual provider in the NPPES registry on July 6, 2011. The provider is also known as Mr. Ted Etell Fontenot Anp.

Q: What is Ted Fontenot's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Ted Fontenot was last updated on April 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 06, 2011PECOS EnrolledAccepts Medicare Assignment

1717 OAK PARK BLVD FL 2, LAKE CHARLES, LA 70601(337) 494-3278(337) 494-3240 Get Directions Write a Review

NPPES record last updated: April 27, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 27, 2022, Feb 9, 2022 (2 updates tracked since 2022).

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About Mr. Ted Etell Fontenot Anp NPPES

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

MR. TED ETELL FONTENOT ANP (NPI 1598052052) is an individual adult health provider in Lake Charles, Louisiana, licensed in Louisiana (AP06448) and active in the NPI registry since July 2011. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1598052052

Entity TypeIndividualMale

Primary Taxonomy363LA2200X

Provider Legal NameMR. TED ETELL FONTENOTCredential: ANP

Location Address1717 OAK PARK BLVD FL 2Lake Charles, LA 70601-8990

Mailing AddressPo Box 122152 Dept 2152Dallas, TX 75312-0001 · (337) 494-2921 · Fax (337) 494-6523

Phone(337) 494-3278

Fax(337) 494-3240

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 6, 2011

Last NPPES UpdateApril 27, 20222 updates tracked since enumeration

NPPES CertifiedApril 27, 2022

✔ NPI 1598052052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in LA · AP06448

1717 OAK PARK BLVD FL 2, Lake Charles, LA 70601

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Other Names 1

Former Name (1)Mr. Ted Etell Fontenot Anp

Secondary Practice Locations 4

Location 1122 W 4th StDequincy, LA 70633-3508 · Phone (337) 494-3278 · Fax (337) 494-3240

Location 2913 E Kent DrSulphur, LA 70663-5007 · Phone (337) 527-3610 · Fax (337) 527-6063

Location 3109 W 4th StDeridder, LA 70634-4849 · Phone (337) 494-3278 · Fax (337) 494-3240

Location 41322 Elton Rd Ste PJennings, LA 70546-4100 · Phone (337) 494-3278 · Fax (337) 494-3240

Other Identifiers 2

OtherAP06448LA · State License

Medicaid2159445LA

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

Mr. Ted Etell Fontenot Anp 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 ID4385816081

PECOS Enrollment IDI20110930000144

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 6

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.

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.

692 services622 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.

118 services111 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

16 services16 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 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.

14 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number190050

Location600 S Pine StreetDeridder, LA 70634 · Beauregard County

Emergency services Birthing friendly

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 70601 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 15

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

DR. JEAN KING WHITE MD

Internal Medicine (Interventional Cardiology)