MR. SENIA TIMOTHY FONTENOT ANP-C
NPI 1861783417
Nurse Practitioner - Adult Health in Lake Charles, LA

Active since April 29, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1747 IMPERIAL BLVD, LAKE CHARLES, LA 70605(337) 721-7236(337) 721-7237 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Senia Timothy Fontenot Anp-c NPPES

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

MR. SENIA TIMOTHY FONTENOT ANP-C (NPI 1861783417) is an individual adult health provider in Lake Charles, Louisiana, licensed in Louisiana (AP06594) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with West Calcasieu Cameron Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1861783417
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameMR. SENIA TIMOTHY FONTENOTCredential: ANP-C
Location Address1747 IMPERIAL BLVDLake Charles, LA 70605-5362
Mailing Address501 Doctor Michael Debakey DrLake Charles, LA 70601-5724 · (337) 312-8258 · Fax (337) 312-6711
Fax(337) 721-7237
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 29, 2011
Last NPPES UpdateMarch 21, 2017
NPI 1861783417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in LA · AP06594
Also ListedRegistered Nurse · OrthopedicTaxonomy 163WX0800X · License RN117238 (LA)
1747 IMPERIAL BLVD, Lake Charles, LA 70605

Other Identifiers 3

Medicare PIN3C8597460LA
Medicare PINP01161332LA
Medicaid2171381LA

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

Mr. Senia Timothy Fontenot Anp-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 ID6608040829
PECOS Enrollment IDI20111123000610
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 7

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.
967 services490 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.
280 services233 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.
131 services131 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.
57 services57 patients
Injection of trigger points, 1-2 muscles 20552
Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.
52 services43 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
34 services30 patients

Hospital Affiliations CMS Care Compare 2

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

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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Podiatrist (Foot & Ankle Surgery)
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Orthopaedic Surgery
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Specialist/Technologist (Athletic Trainer)
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Podiatrist (Foot & Ankle Surgery)
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Orthopaedic Surgery
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Specialist/Technologist (Athletic Trainer)
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Surgery (Surgery of the Hand)
1747 IMPERIAL BLVD
LAKE CHARLES, LA 70605
Specialist/Technologist (Athletic Trainer)
1747 IMPERIAL BLVD
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 Senia Fontenot's NPI number?

The NPI number for Senia Fontenot is 1861783417. It was assigned to this individual provider in the NPPES registry on April 29, 2011.

Where is Senia Fontenot located?

Senia Fontenot practices at 1747 Imperial Blvd, Lake Charles, LA 70605. The listed phone number is (337) 721-7236.

What is Senia Fontenot's specialty?

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

Is Senia Fontenot enrolled in Medicare?

Yes. Senia Fontenot 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 Senia Fontenot accept?

Health plans from Blue Cross and Blue Shield of Louisiana, CHRISTUS Health Plan and HMO Louisiana list Senia Fontenot 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 Senia Fontenot affiliated with any hospitals?

According to CMS data, Senia Fontenot is affiliated with West Calcasieu Cameron Hospital and Beauregard Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Senia Fontenot was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.