Jessica Evans McKenzie, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

323683 Issued in LA

Practice address

431 Homer Rd
Minden, LA 71055-2933

Phone

(318) 377-8855

NPI assigned

Mar 29, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in Shreveport, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Minden Physician Practices LLCGroup PAC ID 4789720004, 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Minden Medical Center Hospital, Minden, LA, CCN 190144

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.mckenzie.2@3681.direct.athenahealth.com
• Direct secure messaging: jessica.mckenzie.3@3681.direct.athenahealth.com
• Direct secure messaging: jessica.mckenzie.1@3681.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 and National Provider Directory roles.

• Minden Physician Practices LLC

  • Multi-Specialty Clinic/Center
  • Minden, LA
  • NPI 1497986764

  Family Medicine

  Medicare reassignment Care Compare group NPD
• North Caddo Hospital Service District

  • Critical Access Hospital
  • Vivian, LA
  • NPI 1326016684

  Emergency Medicine

  Medicare reassignment NPD
• Minden Physician Practices LLC

  • Rural Health Clinic/Center
  • Haughton, LA
  • NPI 1699392589

  Family Medicine

  NPD
• Minden Physician Practices, LLC

  • Rural Health Clinic/Center
  • Minden, LA
  • NPI 1699834473

  Family Medicine

  NPD
• North Caddo Hospital Service District

  • Rural Health Clinic/Center
  • Vivian, LA
  • NPI 1013181866

  Family Medicine

  NPD
• CLHG - Minden, LLC

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  NPD (past)
• Minden Physician Practices LLC

  • Family Nurse Practitioner
  • Minden, LA
  • NPI 1265777957

  Family Medicine

  NPD (past)

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

• CLHG - Minden, LLC

  • Rural Acute Care Hospital
  • Minden, LA
  • NPI 1891873337
  Care Compare affiliation

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

{
    "created_epoch": "1553817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1174084396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823314",
            "telephone_number": "183-753-2353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 HOMER RD",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710552933",
            "telephone_number": "318-377-8855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823314",
            "country_code": "US",
            "telephone_number": "318-375-3235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JESSICA",
        "middle_name": "EVANS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-29",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "323683",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "323683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi W Mayfield, LPC
• John H McConnell, D.D.S.
• Heather McCullough, SLP
• Christie McDearmont
• Deniqua McGee, FNP
• Danny McKinney
• Janet H McKneely, P.T.
• Madelyn McMullan
• Sarah McCann McNeill, MD
• James McPherson

• Family Medicine Physician in Minden, LA
• Providers in Minden, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.