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TONI W. ROUSSEL FNP
NPI 1720012859
Nurse Practitioner in Baton Rouge, LA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
59.4/100
CMS Quality Rating
10771 PERKINS RD, BATON ROUGE, LA 70810(225) 256-1634(225) 384-5402 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Toni W. Roussel Fnp NPPES

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

TONI W. ROUSSEL FNP (NPI 1720012859) is an individual nurse practitioner in Baton Rouge, Louisiana, licensed in Louisiana (AP04744) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lutcher, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1720012859
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTONI W. ROUSSELCredential: FNP
Location Address10771 PERKINS RDBaton Rouge, LA 70810-1693
Mailing Address720 Lefort Bypass RdThibodaux, LA 70301-6133 · (985) 257-0592
Phone(225) 256-1634
Fax(225) 384-5402
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 11, 2006
Last NPPES UpdateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1720012859 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 · AP04744
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.
10771 PERKINS RD, Baton Rouge, LA 70810
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Secondary Practice Location 1

Location 11645 Lutcher AveLutcher, LA 70071-5150 · Phone (225) 869-5512

Other Identifiers 1

Medicaid1725251LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.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

Toni W. Roussel Fnp 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 ID8325072242
PECOS Enrollment IDI20050921000037
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.

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.
101 services97 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
90 services45 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.
73 services70 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.
71 services71 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
66 services63 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
44 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70810 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

59.4/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.65
Promoting Interoperability100
Improvement Activities20
Cost22.04

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 Toni Roussel's NPI number?

The NPI number for Toni Roussel is 1720012859. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Toni Roussel located?

Toni Roussel practices at 10771 Perkins Rd, Baton Rouge, LA 70810. The listed phone number is (225) 256-1634.

What is Toni Roussel's specialty?

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

Is Toni Roussel enrolled in Medicare?

Yes. Toni Roussel 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 Toni Roussel accept?

Health plans from HMO Louisiana list Toni Roussel 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.

When was this NPI record last updated?

The NPPES record for Toni Roussel was last updated on April 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.