KENNETH JOSEPH WADDELL
NPI 1912761768
Nurse Anesthetist, Certified Registered in Lake Charles, LA
About Kenneth Joseph Waddell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH JOSEPH WADDELL (NPI 1912761768) is an individual nurse anesthetist, certified registered in Lake Charles, Louisiana, licensed in Louisiana (234093) and active in the NPI registry since February 2024. He is affiliated with Lake Charles Memorial Hospital and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kenneth Joseph Waddell 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.
Medicare Billing Reassignment
Medicare enrollment records show Kenneth Waddell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Louisiana enrollment
- 45 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
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, LAPhysician 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.
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.
LAKE CHARLES, LA 70601
LAKE CHARLES, LA 70601
LAKE CHARLES, LA 70601
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 Kenneth Waddell's NPI number?
The NPI number for Kenneth Waddell is 1912761768. It was assigned to this individual provider in the NPPES registry on February 12, 2024.
Where is Kenneth Waddell located?
Kenneth Waddell practices at 1701 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 494-3000.
What is Kenneth Waddell's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Kenneth Waddell enrolled in Medicare?
Yes. Kenneth Waddell 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.
Which organization bills Medicare for Kenneth Waddell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Waddell reassigns Medicare benefits to Lcms Cardiovascular Diseases, LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Waddell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Waddell accept?
Health plans from HMO Louisiana list Kenneth Waddell 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 Kenneth Waddell affiliated with any hospitals?
According to CMS data, Kenneth Waddell is affiliated with Lake Charles Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Waddell was last updated on February 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kenneth Joseph Waddell · NPI 1912761768
Nurse Anesthetist, Certified Registered physician in Lake Charles, Louisiana. Individual provider, active in the CMS NPPES registry since February 12, 2024.
## Identity
- **NPI:** 1912761768 (Entity type: Individual)
- **Enumerated:** February 12, 2024
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 234093 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 1701 OAK PARK BLVD, Lake Charles, LA 70601-8911
- **Phone:** (337) 494-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Lcms Cardiovascular Diseases, LLC (NPI 1285869370, Lake Charles, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912761768) · Data from the CMS NPPES public registry.