Individual provider Active NPI

Olivia Louis-Jacques, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
National Provider Identifier
1306490925
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
344905 Issued in NY
Practice address
4 Ohio Dr
New Hyde Park, NY 11042-1144
Phone
(516) 519-8260
NPI assigned
Jul 31, 2019
Last updated
Dec 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 344905 NY Primary

Addresses

Primary practice location

4 Ohio Dr
New Hyde Park, NY 11042-1144

Mailing address

329 E Main St
Smithtown, NY 11787-2830
Phone (718) 644-0743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231109001824 NY Practitioner - Nurse Practitioner 3072960277 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHS Physician Partners PCGroup PAC ID 7618955667, 739 clinicians

Practice addresses (Care Compare)

1000 N Village Ave
Rockville Center, NY 11570-1000

Merit-based Incentive Payment System (MIPS)

Final score
87.64 of 100Reported as group
Quality
76.13
Improvement activities
40
Cost
69.23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CHS Physician Partners, P.C CurrentSince Jan 27, 2026 Accepting new patients
Infinite Medical PC CurrentSince Dec 4, 2023 Accepting new patients
CHS Physician Partners, PC CurrentSince Jan 27, 2026 Accepting new patients
Brookview Medical Associates, PLLC CurrentSince Oct 1, 2023 Accepting new patients
Dr Michael Kaplan DO PC CurrentSince Jun 16, 2024 Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

250 Skillman St
Ste 202
Brooklyn, NY 11205

11915 27th Ave
Flushing, NY 11354
Phone (631) 681-4754

4 Ohio Dr
New Hyde Park, NY 11042
Phone (516) 519-8260

329 E Middle Country Rd
Ste 9
Smithtown, NY 11787
Phone (631) 361-3363

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

Organizations & group practices 6

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": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1306490925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E MAIN ST",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872830",
            "telephone_number": "718-644-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OHIO DR",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421144",
            "telephone_number": "516-519-8260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS-JACQUES",
        "first_name": "OLIVIA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-31",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.