Active NPI
Jennifer R McCann
- Obstetrics & Gynecology Physician
- Deridder, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 201272
- Practice address
- 401 S Washington St
Deridder, LA 70634-4863 - Phone
- (337) 515-4537
- Fax
- (337) 460-1348
- NPI assigned
- Jun 4, 2007
- Last updated
- Aug 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 201272 | LA | Primary |
| Obstetrics Physician | 207VX0000X | 201272 | LA |
Addresses
Primary practice location
401 S Washington St
Deridder, LA 70634-4863
Mailing address
401 S Washington St
Deridder, LA 70634-4863
Phone (337) 515-4537
Other practice location 1
206 W 5th St
Deridder, LA 70634-4856
Phone (337) 463-5582
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201988701 | Medicaid | TX | |
| 1093271 | Medicaid | LA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | McCann.wellness1@gmail.com | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in Shreveport, 2005
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
401 S Washington St
Deridder, LA 70634-4863
Phone (337) 515-4537
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201272 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CLHG-Avoyelles LLC | Current | Accepting new patients | |
| West Louisiana Health Services Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| CLHG-Leesville | Current | Accepting new patients | |
| Jennifer Rudd McCann MD, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Obhg Louisiana, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| CLHG-Avoyelles LLC | Current | Accepting new patients | |
| Minden Physician Practices LLC | Current | Accepting new patients | |
| Minden Physician Practices LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Beauregard Women's Health Center, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| CLHG-Leesville | Current | Accepting new patients | |
| Hawkeye Medical, LLC | Current | Accepting new patients |
Locations
8585 Picardy Ave
Baton Rouge, LA 70809
Phone (225) 763-4000
206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106
401 S Washington St
Deridder, LA 70634
Phone (337) 515-4537
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010
1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278
110 La Rue Medecine St
Marksville, LA 71351
Phone (318) 253-6564
4231 Highway 1192
Marksville, LA 71351
Phone (318) 240-6000
4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677
5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
1111 Homer Rd
Minden, LA 71055
Phone (318) 377-7500
427 Homer Rd
Minden, LA 71055
Phone (318) 377-8855
431 Homer Rd
Minden, LA 71055
Phone (318) 377-8855
Networks
- LA PPO C-SNP
Interoperability endpoints
- jennifer.mccann.1@3681.direct.athenahealth.com
Organizations & group practices 12
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.
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1346915261
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1801196498
-
- General Acute Care Hospital
- Marksville, LA
- NPI 1639618853
-
- Hospitalist Physician
- Marksville, LA
- NPI 1952630360
-
- Multi-Specialty Clinic/Center
- Minden, LA
- NPI 1497986764
-
dba Beauregard Health System
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1164985495
-
dba Cottonport Family Care Center
- Family Medicine Physician
- Cottonport, LA
- NPI 1063211944
-
dba West Louisiana Family Practice - Leesville
- Rural Health Clinic/Center
- Leesville, LA
- NPI 1194411694
-
dba Minden Medical Clinic of Haughton
- Rural Health Clinic/Center
- Haughton, LA
- NPI 1699392589
-
dba The Women's Clinic
- Rural Health Clinic/Center
- Minden, LA
- NPI 1720360795
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beauregard Memorial Hospital
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723680000000",
"number": "1083816854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S WASHINGTON ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344863",
"telephone_number": "337-515-4537",
"fax_number": "337-460-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S WASHINGTON ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344863",
"telephone_number": "337-515-4537",
"fax_number": "337-460-1348"
}
],
"practiceLocations": [
{
"address_1": "206 W 5th St",
"address_purpose": "LOCATION",
"city": "Deridder",
"state": "LA",
"postal_code": "706344856",
"country_code": "US",
"telephone_number": "337-463-5582",
"fax_number": "337-460-1348",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCANN",
"first_name": "JENNIFER",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-04",
"last_updated": "2024-08-15",
"certification_date": "2024-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "201272",
"primary": true
},
{
"code": "207VX0000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Obstetrics",
"state": "LA",
"license": "201272",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201988701",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093271",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "McCann.wellness1@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "401 S Washington St",
"city": "Deridder",
"state": "LA",
"country_code": "US",
"postal_code": "706344863",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.