Individual provider Active NPI

Jennifer Henderson Leblanc, APRN, BC

  • Adult Health Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1033108238
Registry record updated Jun 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN094711 Issued in LA
Practice address
10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone
(225) 927-5663
Fax
(225) 928-7341
NPI assigned
Oct 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN094711 LA Primary

Addresses

Primary practice location

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725

Mailing address

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone (225) 927-5663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040617001537 LA Practitioner - Nurse Practitioner 2163406893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Dermatology Associates, LLCGroup PAC ID 5890774921, 10 clinicians

Practice addresses (Care Compare)

10154 Jefferson Hwy
Baton Rouge, LA 70809-2725
Phone (225) 927-5663

Merit-based Incentive Payment System (MIPS)

Final score
96.97 of 100Reported as group
Quality
93.94
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN094711LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Dermatology Associates, LLC CurrentSince Dec 1, 2003 Accepting new patients

Locations

429 E Airport Ave
Ste 4
Baton Rouge, LA 70806
Phone (225) 329-9606

1014 Saint Clair Blvd
Ste 1040
Gonzales, LA 70737
Phone (225) 766-0416

721 N Burnside Ave
Ste D
Gonzales, LA 70737
Phone (225) 927-5663

Interoperability endpoints

  • Direct secure messaging: jennifer.leblanc@pd.eclinicaldirectplus.com
  • Direct secure messaging: jleblanc@louisianadermatology.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245974400000",
    "number": "1033108238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10154 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092725",
            "telephone_number": "225-927-5663",
            "fax_number": "225-928-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10154 JEFFERSON HWY",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708092725",
            "telephone_number": "225-927-5663",
            "fax_number": "225-928-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JENNIFER",
        "middle_name": "HENDERSON",
        "name_prefix": "Mrs.",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2009-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "RN094711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.