Individual provider Active NPI

Jennifer Matherne, FNP

  • Family Nurse Practitioner
  • Mandeville, LA
National Provider Identifier
1306392212
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP08940 Issued in LA
Practice address
2651 Florida St
Mandeville, LA 70448-3556
Phone
(985) 869-7533
NPI assigned
Aug 30, 2016
Last updated
Aug 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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 AP08940 LA Primary

Addresses

Primary practice location

2651 Florida St
Mandeville, LA 70448-3556

Mailing address

437 Blue Heron LN
Madisonville, LA 70447-3250
Phone (504) 559-1533

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
I20241023001204 LA Practitioner - Nurse Practitioner 7810278967 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic, PLLC CurrentSince Oct 19, 2016 Accepting new patients
Signify Health, LLC CurrentSince Aug 10, 2024 Accepting new patients

Locations

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 224-6402

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

7557 Rambler Rd
Ste 720
Dallas, TX 75231
Phone (214) 361-9355

Organizations & group practices 2

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": "1472515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1306392212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "437 BLUE HERON LN",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473250",
            "telephone_number": "504-559-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 FLORIDA ST",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704483556",
            "telephone_number": "985-869-7533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHERNE",
        "first_name": "JENNIFER",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-30",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP08940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mandeville, LA

Sources for this page

Verify at the official NPI Registry.