Active NPI
Jenny Rebecca Neidigh, CRNP
- Family Nurse Practitioner
- Lake Charles, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 204668
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | SP018169 | PA | |
| Family Nurse Practitioner | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP018169 | PA | MD | Nurse Practitioner |
| 204668 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Calcasieu Urgent Care, LLC | Current | Accepting new patients | |
| Upperline Healthcare, PC | Current | Accepting new patients | |
| Calcasieu Urgent Care LLC | Single Specialty | Current | Accepting new patients |
| Upperline Healthcare, PC | Single Specialty | Current | Accepting new patients |
| Healthsmart House Calls, LLC | Single Specialty | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
Single Specialty
-
- Foot & Ankle Surgery Podiatrist
- Hoover, AL
- NPI 1538686498
LA, Single Specialty
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
-
- Foot & Ankle Surgery Podiatrist
- Ocoee, FL
- NPI 1326906843
-
- Family Nurse Practitioner
- Lake Charles, LA
- NPI 1558662437
Single Specialty
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.