Individual provider Active NPI

Jena M Conquergood, MSN, FNP-BC

  • Family Nurse Practitioner
  • Madisonville, LA
National Provider Identifier
1336943620
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
240141 Issued in LA
Practice address
413 Swift Fox Run
Madisonville, LA 70447-3115
Phone
(228) 493-0148
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 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 240141 LA Primary

Addresses

Primary practice location

413 Swift Fox Run
Madisonville, LA 70447-3115

Mailing address

413 Swift Fox Run
Madisonville, LA 70447-3115
Phone (228) 493-0148

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
I20251016003225 LA Practitioner - Nurse Practitioner 5092202606 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Louisiana Heart and Vascular Institute, LLCGroup PAC ID 7113266313, 16 clinicians

Practice addresses (Care Compare)

20 Starbrush Cir
Covington, LA 70433-7208
Phone (985) 777-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
240141LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Heart and Vascular Institute, LLC CurrentSince Sep 1, 2025 Accepting new patients

Locations

20 Starbrush Cir
Covington, LA 70433
Phone (985) 777-7000

711 Boat Ramp Rd
Franklinton, LA 70438
Phone (985) 777-7000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20904/brand/1/csg/1/fhir/r4
  • Direct secure messaging: jena.conquergood.1@20904.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1336943620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 SWIFT FOX RUN",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473115",
            "telephone_number": "228-493-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 SWIFT FOX RUN",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704473115",
            "telephone_number": "228-493-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONQUERGOOD",
        "first_name": "JENA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "240141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, LA

Sources for this page

Verify at the official NPI Registry.