Individual provider Active NPI

Jennifer Jarrell Paine, FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1346559937
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP06170 Issued in LA
Practice address
920 Oliver Rd
Monroe, LA 71201-5702
Phone
(318) 807-6267
Fax
(318) 812-6458
NPI assigned
Sep 29, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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 AP06170 LA Primary

Addresses

Primary practice location

920 Oliver Rd
Monroe, LA 71201-5702

Mailing address

130 Desiard St
Suite 355
Monroe, LA 71201-7319
Phone (318) 807-7875

Other identifiers 1

IdentifierTypeStateIssuer
2139797MedicaidLA

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
I20110203001014 LA Practitioner - Nurse Practitioner 9830379189 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Urgent Care, LLCGroup PAC ID 8729138896, 50 clinicians
Hulin Urgent Care Services LLCGroup PAC ID 6800051285, 135 clinicians

Practice addresses (Care Compare)

1009 S Service Rd W
Ruston, LA 71270-2915
Phone (318) 242-1440

117 N Service Rd E
Ruston, LA 71270-2347
Phone (337) 296-2527

Merit-based Incentive Payment System (MIPS)

Final score
81.51 of 100Reported as apm
Quality
60.04
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Urgent Care, LLC CurrentSince Jan 13, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Dec 28, 2021 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Dec 20, 2024 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Affinity Health Group, LLC CurrentSince Sep 25, 2015 Accepting new patients
Affinity Health Group, LLC CurrentSince Sep 25, 2015 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Jan 13, 2025 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Jan 13, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Dec 28, 2021 Accepting new patients
Baton Rouge Clinic, a Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Internal Medicine of the Twin Cities PastSince Sep 26, 2016 Accepting new patients

Locations (25 of 40)

6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781

902 Main St
Baker, LA 70714
Phone (225) 500-2504

2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413

7373 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 246-9790

8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520

1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159

965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681

1124 S Burnside Ave
Ste 100A
Gonzales, LA 70737
Phone (225) 644-5503

3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166

203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401

3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412

863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175

3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008

1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664

112 Saint John St
Monroe, LA 71201
Phone (318) 387-5681

4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267

1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

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

300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501

Organizations & group practices 11

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": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1346559937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST",
            "address_2": "SUITE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017319",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-807-6267",
            "fax_number": "318-812-6458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINE",
        "first_name": "JENNIFER",
        "middle_name": "JARRELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP06170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2139797",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.