Individual provider Active NPI

Jennifer Menard Piker, PA-C

  • Surgical Physician Assistant
  • Lafayette, LA
National Provider Identifier
1285895060
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
309 Settlers Trace Blvd Ste 100
Lafayette, LA 70508-6061
Phone
(337) 981-6065
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA.200200 LA
Surgical Physician Assistant 363AS0400X Primary

Addresses

Primary practice location

309 Settlers Trace Blvd Ste 100
Lafayette, LA 70508-6061

Mailing address

309 Settlers Trace Blvd Ste 100
Lafayette, LA 70508-6061
Phone (337) 981-6065

Other names 1

  • Jennifer Joanne Menard Other name

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
I20091207000460 LA Practitioner - Physician Assistant 1658448527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

309 Settlers Trace Blvd
Suite 100
Lafayette, LA 70508-6061
Phone (337) 981-6065

Merit-based Incentive Payment System (MIPS)

Final score
92.77 of 100Reported as group
Quality
85.54
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA.200200LAMDMedical Physician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1285895060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 SETTLERS TRACE BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086061",
            "telephone_number": "337-981-6065",
            "fax_number": "337-266-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 SETTLERS TRACE BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086061",
            "telephone_number": "337-981-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIKER",
        "first_name": "JENNIFER",
        "middle_name": "MENARD",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200200",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MENARD",
            "middle_name": "JOANNE",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.