Individual provider Active NPI

Jessica B Kraker, MD

  • Neurology Physician
  • New Orleans, LA
National Provider Identifier
1275660631
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
207193 Issued in LA
Practice address
131 S Robertson St
Suite 1340
New Orleans, LA 70112-2807
Phone
(504) 988-4564
Fax
(504) 988-9191
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 207193 LA Primary

Addresses

Primary practice location

131 S Robertson St
Suite 1340
New Orleans, LA 70112-2807

Mailing address

131 S Robertson St
Suite 1340
New Orleans, LA 70112-2807
Phone (504) 988-4564

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141027001554 LA Practitioner - Neurology 0042336208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Administrators of the Tulane Educational FundGroup PAC ID 0446163760, shared by 3 NPIs, 388 clinicians

Practice addresses (Care Compare)

101 Judge Tanner Blvd
Suite 402
Covington, LA 70433-7505
Phone (985) 951-3222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Administrators of the Tulane Educational Fund CurrentSince Aug 10, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Aug 10, 2014 Accepting new patients
Administrators of the Tulane Educational Fund CurrentSince Jan 31, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Tulane University Medical Group Past Accepting new patients

Locations

101 Judge Tanner Blvd
Ste 402
Covington, LA 70433
Phone (985) 892-8959

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

4224 Houma Blvd
Ste 550
Metairie, LA 70006
Phone (504) 454-5213

1450 Poydras St
New Orleans, LA 70112
Phone (504) 903-2373

1415 Tulane Ave
#22
New Orleans, LA 70112
Phone (504) 988-4352

2003 Tulane Ave
Fl 5
New Orleans, LA 70112

1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

2000 Canal St
Fl 2
New Orleans, LA 70112
Phone (504) 702-2287

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFJBA

Organizations & group practices 5

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.

Hospital & facility affiliations 7

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1275660631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST",
            "address_2": "SUITE 1340",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-4564",
            "fax_number": "504-988-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 S ROBERTSON ST",
            "address_2": "SUITE 1340",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122807",
            "telephone_number": "504-988-4564",
            "fax_number": "504-988-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAKER",
        "first_name": "JESSICA",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "207193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.