Jessica Bosch Bordelon, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP06791 Issued in LA

Practice address

15799 Professional PLZ
Hammond, LA 70403-1452

Phone

(985) 419-0025

Fax

(985) 419-0035

NPI assigned

Mar 12, 2012

Last updated

Dec 9, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pontchartrain Cancer Center IncGroup PAC ID 6305863580, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015
• Hood Memorial Hospital Hospital, Amite, LA, CCN 191309
• St Helena Parish Hospital Hospital, Greensburg, LA, CCN 191300

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbosch5287971@direct.casso.us.com

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

• Pontchartrain Cancer Center Inc

  • Hematology & Oncology Physician
  • Hammond, LA
  • NPI 1811916109
  Medicare reassignment Care Compare group NPD
• S. Tahseen Rab MD Apllc

  • Nephrology Physician
  • Hammond, LA
  • NPI 1356307862
  Medicare reassignment NPD
• Pontchartrain Cancer Center

  • Specialist
  • Covington, LA
  • NPI 1710286794
  NPD (past)

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

• Hood Memorial Hospital

  • Psychiatric Hospital Unit
  • Amite, LA
  • NPI 1649460122
  Care Compare affiliation
• Hospital Service District 2 of the Parish of Tangipahoa State of la.

  dba Hood Memorial Hospital

  • Critical Access Hospital
  • Amite, LA
  • NPI 1003925959
  Care Compare affiliation
• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539
  Care Compare affiliation
• St. Helena Parish Hospital

  • Critical Access Hospital
  • Greensburg, LA
  • NPI 1588614036
  Care Compare affiliation

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1043585854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15799 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-0025",
            "fax_number": "985-419-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15799 PROFESSIONAL PLZ",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031452",
            "telephone_number": "985-419-0025",
            "fax_number": "985-419-0035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "433 Plaza St Fl 3",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273729",
            "country_code": "US",
            "telephone_number": "985-730-6710",
            "fax_number": "985-730-6959",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16014 Doctors Blvd",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031478",
            "country_code": "US",
            "telephone_number": "985-340-7868",
            "fax_number": "985-340-7866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORDELON",
        "first_name": "JESSICA",
        "middle_name": "BOSCH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-12",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP06791",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP06791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2190857",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbosch24077@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "16014 Doctors Blvd",
            "city": "Hammond",
            "state": "LA",
            "country_code": "US",
            "postal_code": "704031478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Melinda Flocke Bonner, PA-C
• Hollie Bono
• Dennis Joseph Booth, M.D.
• Shani Gorio Booth, ANP, PMHNP
• Alyson Rose Bordelon
• Lisa G. Bordok, SPEECH PATHOLOGIST
• Julie Ann Dardar Borrouso, PHARM D
• Frances Honelle Boudreaux-Pearson, RPH
• Blair Boudreaux, NP
• Monica Isabelle Boudreaux

• Nurse Practitioner in Hammond, LA
• Providers in Hammond, LA by specialty
• Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.