Individual provider Active NPI

Flem Ballet Jr., RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1295401198
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
226168 Issued in LA
Practice address
5001 Westbank Expy Ste 100
Marrero, LA 70072-2954
Phone
(504) 349-8833
NPI assigned
Aug 19, 2021
Last updated
Dec 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 226168 LA Primary

Addresses

Primary practice location

5001 Westbank Expy Ste 100
Marrero, LA 70072-2954

Mailing address

3616 S I 10 Service Rd W Ste 100
Metairie, LA 70001-1884
Phone (504) 838-5257

Other practice location 1

1900 Gravier St
New Orleans, LA 70112-2262
Phone (504) 568-4221

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
I20220830000780 LA Practitioner - Nurse Practitioner 0840674537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JeffcareGroup PAC ID 7911125513, 21 clinicians

Practice addresses (Care Compare)

5001 Westbank Expressway
Suite 100
Marrero, LA 70072-2954
Phone (504) 838-5215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffcare Single Specialty CurrentSince Aug 8, 2022 Accepting new patients
Jeffcare PastSince Aug 8, 2022 Accepting new patients

Locations

5001 Westbank Expy
#100
Marrero, LA 70072
Phone (504) 838-5215

5001 Westbank Expy
Ste 100
Marrero, LA 70072
Phone (504) 349-8801

3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1295401198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 S I 10 SERVICE RD W STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011884",
            "telephone_number": "504-838-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 WESTBANK EXPY STE 100",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722954",
            "telephone_number": "504-349-8833"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Gravier St",
            "address_purpose": "LOCATION",
            "city": "New Orleans",
            "state": "LA",
            "postal_code": "701122262",
            "country_code": "US",
            "telephone_number": "504-568-4221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALLET",
        "first_name": "FLEM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-19",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "226168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.