Jade Dupre Carrere, AGPCNP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R899678 Issued in MS

Practice address

855 Belanger St Ste 107
Houma, LA 70360

Phone

(985) 851-0059

NPI assigned

Jul 21, 2015

Last updated

Aug 28, 2019By 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

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Icp Louisiana Aco Billing LLCGroup PAC ID 6103225164, 5 clinicians

SHC Medical Partners of Louisiana, LLCGroup PAC ID 2567906381, 5 clinicians

Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jcarrere799863@direct.ochsner.org

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.

• Physician Practice Partners

  • Internal Medicine Physician
  • Houma, LA
  • NPI 1326598434

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Icp Louisiana Aco Billing LLC

  • Nurse Practitioner
  • Shreveport, LA
  • NPI 1043894231
  Medicare reassignment Care Compare group
• SHC Medical Partners of Louisiana, LLC

  • Nurse Practitioner
  • Monroe, LA
  • NPI 1629819164
  Medicare reassignment Care Compare group
• Abode Care Partners Al VB, LLC

  • Nurse Practitioner
  • Monroe, LA
  • NPI 1851104459
  Medicare reassignment
• Abode Care Partners LTC VB, LLC

  • Nurse Practitioner
  • Monroe, LA
  • NPI 1912710518
  Medicare reassignment
• Paeon Health Services Inc

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1568985612
  Medicare reassignment
• Ralph J Bourgeois MD Apmc

  • Specialist
  • Houma, LA
  • NPI 1427365543
  NPD (past)
• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • Anesthesiology Physician
  • Houma, LA
  • NPI 1740248129
  NPD (past)

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

• Terrebonne Parish Hospital Service District #1

  dba Terrebonne General Medical Center

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1124403001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 BELANGER ST STE 107",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "703604463",
            "telephone_number": "985-851-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 BELANGER ST STE 107",
            "city": "HOUMA",
            "state": "LA",
            "postal_code": "70360",
            "telephone_number": "985-851-0059"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Lakeland Dr",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164606",
            "country_code": "US",
            "telephone_number": "601-200-2280",
            "fax_number": "601-200-8851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8166 Main St",
            "address_purpose": "LOCATION",
            "city": "Houma",
            "state": "LA",
            "postal_code": "703603404",
            "country_code": "US",
            "telephone_number": "985-873-4141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARRERE",
        "first_name": "JADE",
        "middle_name": "DUPRE",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-21",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R899678",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MS",
            "license": "R899678",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08750525",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cardiovascular Institute of the South, LLC
• Caregivers Personal Assistance LLC
• Caregivers Personal Assistance LLC
• Carey Lovell, LPC
• Angelle Cherie Caro, LPC
• Anya Nichole Carter-Ward
• Amanda Carter
• Kristy Carter
• Ross M Cascio, DDS
• Brett E Casey, MD

• Adult Health Nurse Practitioner in Houma, LA
• Providers in Houma, LA by specialty
• Adult Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.