Individual provider Active NPI

Jenny Rebecca Neidigh, CRNP

  • Family Nurse Practitioner
  • Lake Charles, LA
National Provider Identifier
1407374754
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
204668 Issued in LA
Practice address
711 Iroquoian Dr
Lake Charles, LA 70611
Phone
(337) 905-6895
Fax
(337) 905-6896
NPI assigned
Sep 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP018169 PA
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 204668 LA Primary

Addresses

Primary practice location

711 Iroquoian Dr
Lake Charles, LA 70611

Mailing address

711 Iroquoian Dr
Lake Charles, LA 70611-4940
Phone (337) 905-6895

Other practice location 1

600 Cypress St
Sulphur, LA 70663-5052
Phone (337) 527-6371

Other practice location 2

1535 Highlands Dr
Lititz, PA 17543
Phone (717) 627-4088

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
I20251020002641 LA Practitioner - Nurse Practitioner 9638437262 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP018169PAMDNurse Practitioner
204668LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Oct 1, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Calcasieu Urgent Care LLC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
Upperline Healthcare, PC Single Specialty CurrentSince Sep 22, 2025 Accepting new patients
Healthsmart House Calls, LLC Single Specialty PastSince Aug 6, 2019 Accepting new patients

Locations

1750 Elton Rd
Jennings, LA 70546
Phone (337) 329-6565

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

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Interoperability endpoints

  • Direct secure messaging: jenny.neidigh@3600.securemail.prognocis.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1407374754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 IROQUOIAN DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706114940",
            "telephone_number": "337-905-6895",
            "fax_number": "337-905-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 IROQUOIAN DR",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "70611",
            "telephone_number": "337-905-6895",
            "fax_number": "337-905-6896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Cypress St",
            "address_purpose": "LOCATION",
            "city": "Sulphur",
            "state": "LA",
            "postal_code": "706635052",
            "country_code": "US",
            "telephone_number": "337-527-6371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1535 Highlands Dr",
            "address_purpose": "LOCATION",
            "city": "Lititz",
            "state": "PA",
            "postal_code": "17543",
            "country_code": "US",
            "telephone_number": "717-627-4088",
            "fax_number": "717-627-4089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEIDIGH",
        "first_name": "JENNY",
        "middle_name": "REBECCA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018169",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "204668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.