Active NPI
Jennifer F Cacioppo, FNP
- Family Nurse Practitioner
- Picayune, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 901550
- Practice address
- 2274 Highway 43 S
Picayune, MS 39466-8141 - Phone
- (601) 798-5798
- Fax
- (601) 798-5914
- NPI assigned
- Aug 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 901550 | MS | Primary |
Addresses
Primary practice location
2274 Highway 43 S
Picayune, MS 39466-8141
Mailing address
28 Oakmont Dr
Carriere, MS 39426-7445
Phone (601) 569-1821
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161101001061 | MS | Practitioner - Nurse Practitioner | 8527346220 | Reassigns benefits to 2 organizations |
| I20240426000858 | LA | Practitioner - Nurse Practitioner | 8527346220 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 901550 | MS | MD | Family Nurse Practitioner |
| 232548 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Ochsner Clinic LLC | Current | Accepting new patients | |
| Ochsner Mississippi, LLC | Current | Accepting new patients | |
| Childrens Hospital Medical Practice Corporation | Family | Current | Accepting new patients |
Locations
141 Ormond Center Ct
Destrehan, LA 70047
Phone (985) 764-7337
3040 33rd St
Metairie, LA 70001
Phone (504) 219-0880
1100 Poydras St
Ste 2500
New Orleans, LA 70163
Phone (504) 527-9953
200 Henry Clay Ave
New Orleans, LA 70118
Phone (504) 412-1860
104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211
2370 Gause Blvd E
Slidell, LA 70461
Phone (985) 369-3755
1150 Robert Blvd
Ste 330
Slidell, LA 70458
Phone (985) 280-7337
1150 Robert Blvd
Slidell, LA 70458
Phone (985) 280-8823
149 Drinkwater Rd
Bay St Louis, MS 39520
Phone (228) 467-8600
517 Fifth Ave
Picayune, MS 39466
Phone (601) 798-1512
2274 Highway 43 S
Picayune, MS 39466
Phone (601) 798-3989
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- New Orleans, LA
- NPI 1821090713
Family, LA, MS
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1316662059
-
- Internal Medicine Physician
- Diamondhead, MS
- NPI 1720596539
-
- Registered Dietitian
- Covington, LA
- NPI 1013747039
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1962972109
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1396290607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28 OAKMONT DR",
"city": "CARRIERE",
"state": "MS",
"postal_code": "394267445",
"telephone_number": "601-569-1821"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2274 HIGHWAY 43 S",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394668141",
"telephone_number": "601-798-5798",
"fax_number": "601-798-5914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACIOPPO",
"first_name": "JENNIFER",
"middle_name": "F",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "901550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.