Individual provider Active NPI

Janel Nicole Tedesco, ACNP

  • Acute Care Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1356398465
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP09592 Issued in LA
Practice address
15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone
(985) 230-3066
Fax
(985) 230-2072
NPI assigned
May 27, 2006
Last updated
Apr 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 687805 TX
Acute Care Nurse Practitioner 363LA2100X AP09592 LA Primary

Addresses

Primary practice location

15790 Paul Vega Dr
Hammond, LA 70403-1436

Mailing address

1001 N Waldrop Dr Ste 509
Arlington, TX 76012-4703
Phone (817) 394-4300

Other identifiers 1

IdentifierTypeStateIssuer
183678501MedicaidTX

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
I20180423000150 LA Practitioner - Nurse Practitioner 3971504226 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15790 Paul Vega MD Dr
Hammond, LA 70403-1434
Phone (985) 230-3066

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09592LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Medical Center, LLC CurrentSince Jun 11, 2018 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 11, 2018 Accepting new patients
Methodist Transplant Physicians Past Accepting new patients

Locations

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

Organizations & group practices 3

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 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1356398465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N WALDROP DR STE 509",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760124703",
            "telephone_number": "817-394-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031436",
            "telephone_number": "985-230-3066",
            "fax_number": "985-230-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "JANEL",
        "middle_name": "NICOLE",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "687805",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "AP09592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "183678501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.