Individual provider Active NPI

Jennifer Collins, DNP

  • Acute Care Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1033969126
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
237459 Issued in LA
Practice address
4224 Houma Blvd Ste 140
Metairie, LA 70006-2934
Phone
(504) 503-6565
NPI assigned
Mar 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN143048 LA
Acute Care Nurse Practitioner 363LA2100X 237459 LA Primary

Addresses

Primary practice location

4224 Houma Blvd Ste 140
Metairie, LA 70006-2934

Mailing address

106 Cerf PL
Mandeville, LA 70471-1705
Phone (985) 807-3715

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
I20241022004250 LA Practitioner - Nurse Practitioner 1557893047 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Jefferson Physicians Group LLCGroup PAC ID 4587660402, 211 clinicians

Practice addresses (Care Compare)

4224 Houma Blvd
Suite 140
Metairie, LA 70006-2934
Phone (504) 503-7280

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • St Tammany Parish Hospital Hospital, Covington, LA, CCN 190045
  • Riverside Medical Center Hospital, Franklinton, LA, CCN 191313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN143048LAMDRegistered Nurse
237459LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East Jefferson Physicians Group LLC CurrentSince Oct 7, 2024 Accepting new patients
Metairie Physician Services Inc. Nurse Practitioner Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 506
Covington, LA 70433
Phone (985) 273-3035

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

4224 Houma Blvd
Metairie, LA 70006
Phone (504) 455-6523

4224 Houma Blvd
Ste 140
Metairie, LA 70006
Phone (504) 454-7721

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

1100 Poydras St
New Orleans, LA 70163
Phone (504) 527-9952

Organizations & group practices 2

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.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1033969126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CERF PL",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704711705",
            "telephone_number": "985-807-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 HOUMA BLVD STE 140",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062934",
            "telephone_number": "504-503-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "JENNIFER",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN143048",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "237459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.