Jason Exelby, FNP/AG-ACNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

221988 Issued in LA

Practice address

3311 Prescott Rd Ste 202
Alexandria, LA 71301-3983

Phone

(318) 483-1870

NPI assigned

Aug 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.exelby.1@23644.direct.athenahealth.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.

• Louisiana Cardiovascular & Thoracic Institute, LLC

  • Specialist
  • Alexandria, LA
  • NPI 1104984293
  Medicare reassignment NPD

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1053085068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-483-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 PRESCOTT RD STE 202",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713013983",
            "telephone_number": "318-483-1870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EXELBY",
        "first_name": "JASON",
        "credential": "FNP/AG-ACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "221988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evergreen Presbyterian Ministries, Inc. (Prescott Road Community Home)
• Evergreen Presbyterian Ministries, Inc. (Camerata Community Home)
• Evergreen Presbyterian Ministries, Inc. (Windermere Community Home)
• Evergreen Presbyterian Ministries,Inc.
• Trevor Lee Ewing
• Eyemart Express LLC
• Eyemart Express, LTD. (Vision 4 Less)
• Johnson Sullivan Fairbanks, RPH
• Faircloth Chiropractic Clinic, L.L.C.
• Camille Faircloth, DC

• Family Nurse Practitioner in Alexandria, LA
• Providers in Alexandria, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.