Individual provider Active NPI

Jessica Ravare, FNP

  • Family Nurse Practitioner
  • Marksville, LA
National Provider Identifier
1194340695
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06200333 Issued in LA
Practice address
5541 Highway 1
Marksville, LA 71351-2650
Phone
(318) 240-7240
NPI assigned
Jun 10, 2020
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06200333 LA Primary

Addresses

Primary practice location

5541 Highway 1
Marksville, LA 71351-2650

Mailing address

5541 Highway 1
PO Box 249
Marksville, LA 71351-2650
Phone (318) 240-7240

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908000335 LA Practitioner - Nurse Practitioner 3678990652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-Avoyelles LLCGroup PAC ID 8921380528, 39 clinicians

Practice addresses (Care Compare)

1208 Wisteria St
Ryan White Clinic/Tulane CD4 Clinic
Alexandria, LA 71301-6861
Phone (318) 484-4801

4239 Hwy 1192
Suite 300
Marksville, LA 71351-4772
Phone (318) 253-8611

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06200333LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2025 Accepting new patients
CLHG-Avoyelles LLC CurrentSince Jul 15, 2020 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Sep 1, 2025 Accepting new patients
CLHG-Avoyelles LLC Current Accepting new patients
CLHG-Avoyelles LLC Family CurrentSince Jul 15, 2020 Accepting new patients
Administrators of the Tulane Educational Fund Past Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

1208 Wisteria St
#4
Alexandria, LA 71301
Phone (318) 484-4801

71211 Highway 21
Ste B
Covington, LA 70433
Phone (985) 893-9922

95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800

2906 Main St
Hessmer, LA 71341
Phone (318) 315-7093

1610 Water St
Lecompte, LA 71346
Phone (318) 406-8010

110 La Rue Medecine St
Marksville, LA 71351
Phone (318) 253-6564

4239 Highway 1192
Ste 300
Marksville, LA 71351
Phone (318) 253-0677

5541 Highway 1
Marksville, LA 71351
Phone (318) 240-7240

597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677

10542 Highway 1
Moreauville, LA 71355
Phone (318) 785-0102

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA
  • Direct secure messaging: jessica.ravare.1@16696.direct.athenahealth.com
  • Direct secure messaging: jessica.ravare.1@30808.direct.athenahealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1194340695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "address_2": "PO BOX 249",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5541 HIGHWAY 1",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512650",
            "telephone_number": "318-240-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVARE",
        "first_name": "JESSICA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "F06200333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marksville, LA

Sources for this page

Verify at the official NPI Registry.