Herndon Martin Jeansonne II, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APO4678 Issued in LA

Practice address

1007 Sycamore St
Cottonport, LA 71327-3403

Phone

(318) 876-3696

Fax

(318) 876-3211

NPI assigned

Oct 25, 2006

Last updated

Jul 18, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Louisiana Health Care Practitioners,LLCGroup PAC ID 5597767244, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bunkie General Hospital Hospital, Bunkie, LA, CCN 191311
• Avoyelles Hospital Hospital, Marksville, LA, CCN 190099

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: herndon.jeansonne.1@10157.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/10157/brand/1/csg/1/fhir/r4

All facility ownership & control disclosures 5

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Louisiana Health Care Practitioners LLC

  dba Cottonport Family Clinic

  • Rural Health Clinic/Center
  • Cottonport, LA
  • NPI 1477724995

  5% Or Greater Direct Ownership Interest, Corporate Officer, W-2 Managing Employee

  CMS ownership
• Louisiana Health Care Practitioners LLC

  dba Marksville Family Clinic

  • Rural Health Clinic/Center
  • Marksville, LA
  • NPI 1487183612

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Louisiana Health Care Practitioners LLC

  dba Palmetto Family Clinic

  • Rural Health Clinic/Center
  • Palmetto, LA
  • NPI 1578139705

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Louisiana Health Care Practitioners LLC

  dba Simmesport Family Clinic

  • Rural Health Clinic/Center
  • Simmesport, LA
  • NPI 1639366685

  5% Or Greater Direct Ownership Interest, Operational/Managerial Control

  CMS ownership
• Louisiana Health Care Practitioners LLC

  dba Mansura Family Clinic

  • Rural Health Clinic/Center
  • Mansura, LA
  • NPI 1811065220

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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 Health Care Practitioners LLC

  dba Mansura Family Clinic

  • Rural Health Clinic/Center
  • Mansura, LA
  • NPI 1811065220
  Medicare reassignment Care Compare group NPD
• Collective Rural Healthcare System LLC

  dba Elizabeth Family Clinic

  • Rural Health Clinic/Center
  • Elizabeth, LA
  • NPI 1841908761
  Medicare reassignment NPD
• Louisiana Health Care Practitioners LLC

  dba Palmetto Family Clinic

  • Rural Health Clinic/Center
  • Palmetto, LA
  • NPI 1578139705
  NPD
• Louisiana Health Care Practitioners LLC

  dba Cottonport Family Clinic

  • Rural Health Clinic/Center
  • Cottonport, LA
  • NPI 1477724995
  NPD (past)
• Louisiana Health Care Practitioners LLC

  dba Marksville Family Clinic

  • Rural Health Clinic/Center
  • Marksville, LA
  • NPI 1487183612
  NPD (past)

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

• CLHG-Avoyelles, LLC

  dba Avoyelles Hospital

  • General Acute Care Hospital
  • Marksville, LA
  • NPI 1053358176
  Care Compare affiliation
• Hospital Service District No1 Parish of Avoyelles State of Louisiana

  • Critical Access Hospital
  • Bunkie, LA
  • NPI 1710932470
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1114002698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 SYCAMORE ST",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713273403",
            "telephone_number": "318-876-3696",
            "fax_number": "318-876-3211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 SYCAMORE ST",
            "city": "COTTONPORT",
            "state": "LA",
            "postal_code": "713273403",
            "telephone_number": "318-876-3696",
            "fax_number": "318-876-3211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANSONNE",
        "first_name": "HERNDON",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1448575",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Paul Gauthier, APRN
• Newell Erwin Gauthier Jr., M.D.
• Antonina B. Holmes, D.D.S.
• Marlon L. Holmes, D.D.S.
• Jarod Huffman, FNP
• Joey Lacombe, BCBA
• Louisiana Health Care Practitioners LLC (Cottonport Family Clinic)
• Marlon L Holmes, DDS a Professional Corporation
• Newell E. Gauthier, Jr. MD
• Gregory Russell Poret, BS

• Family Nurse Practitioner in Cottonport, LA
• Providers in Cottonport, 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 Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.