Individual provider Active NPI

Jeana Balukonis, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Harahan, LA
National Provider Identifier
1336829498
Registry record updated Nov 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
231773 Issued in LA
Practice address
1525 River Oaks Rd W
Harahan, LA 70123-2162
Phone
(504) 734-1740
NPI assigned
Jul 24, 2023
Last updated
Nov 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 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 231773 LA Primary

Addresses

Primary practice location

1525 River Oaks Rd W
Harahan, LA 70123-2162

Mailing address

1525 River Oaks Rd W
Harahan, LA 70123-2199
Phone (504) 734-1740

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
I20231107000060 LA Practitioner - Nurse Practitioner 5092162461 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
River Oaks IncGroup PAC ID 5193799492, 8 clinicians

Practice addresses (Care Compare)

1525 River Oaks Rd W
New Orleans, LA 70123-2162
Phone (504) 733-2273

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
River Oaks Inc CurrentSince Sep 25, 2023 Accepting new patients
River Oaks Inc CurrentSince Sep 25, 2023 Accepting new patients

Locations

1525 River Oaks Rd W
New Orleans, LA 70123
Phone (504) 733-2273

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": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700870400000",
    "number": "1336829498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 RIVER OAKS RD W",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232199",
            "telephone_number": "504-734-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 RIVER OAKS RD W",
            "city": "HARAHAN",
            "state": "LA",
            "postal_code": "701232162",
            "telephone_number": "504-734-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALUKONIS",
        "first_name": "JEANA",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-11-25",
        "certification_date": "2023-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "231773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harahan, LA

Sources for this page

Verify at the official NPI Registry.