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MR. CHANCE QUEEN PA
NPI 1760270052
Physician Assistant in Shreveport, LA

Active since April 28, 2025PECOS EnrolledAccepts Medicare Assignment
8001 YOUREE DR, SHREVEPORT, LA 71115(318) 212-3000 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Chance Queen Pa NPPES

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

MR. CHANCE QUEEN PA (NPI 1760270052) is an individual physician assistant in Shreveport, Louisiana and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1760270052
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CHANCE QUEENCredential: PA
Location Address8001 YOUREE DRShreveport, LA 71115-2302
Mailing Address359 Avondale LnBossier City, LA 71112-4247 · (318) 541-6882
Phone(318) 212-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateApril 28, 2025
NPPES CertifiedApril 28, 2025
✔ NPI 1760270052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8001 YOUREE DR, Shreveport, LA 71115
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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. Chance Queen Pa 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 ID244716033
PECOS Enrollment IDI20260112001976
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 71115 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
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

MAURIE PATTERSON MD AND WILLIS-KNIGHTON MEDICAL CENTER
Internal Medicine
8001 YOUREE DR, SUITE 400
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3456
WK CENTER FOR NEUROSURGERY AT PIERREMONT
Neurological Surgery
8001 YOUREE DR, SUITE 850
SHREVEPORT, LA 71115
Caddo Parish (318) 424-2623
SHIRLEY A KELLEY CRNA
Nurse Anesthetist, Certified Registered
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3220
SUSAN MICHELLE SELF MD
Family Medicine
8001 YOUREE DR, SUITE 540
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3810
ALLYSON DELAUNE NP
Nurse Practitioner (Acute Care)
8001 YOUREE DR, SUITE 880
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3821
MR. CALEB PHILLIPS CRNA
Nurse Anesthetist, Certified Registered
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3000
CHRISTINA GREEN PT, DPT
Physical Therapist
8001 YOUREE DR
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3700
ROBERT C HERNANDEZ MD
Internal Medicine
8001 YOUREE DR, SUITE 450
SHREVEPORT, LA 71115
Caddo Parish (318) 212-3952

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 Chance Queen's NPI number?

The NPI number for Chance Queen is 1760270052. It was assigned to this individual provider in the NPPES registry on April 28, 2025.

Where is Chance Queen located?

Chance Queen practices at 8001 Youree Dr, Shreveport, LA 71115. The listed phone number is (318) 212-3000.

What is Chance Queen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Chance Queen enrolled in Medicare?

Yes. Chance Queen 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.

Is Chance Queen affiliated with any hospitals?

According to CMS data, Chance Queen is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Chance Queen was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.