NPIMap

Organization Active NPI

Christus Health Northern Louisiana

Doing business as Christus Shreveport-Bossier Health System

  • General Acute Care Hospital
  • Shreveport, LA
National Provider Identifier
1417950106
Registry record updated Oct 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
CHRISTUS HEALTH NORTHERN LOUISIANA
Doing business as
Christus Shreveport-Bossier Health System
Practice address
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Phone
(318) 681-4500
Fax
(469) 282-1791
NPI assigned
May 27, 2005
Last updated
Oct 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2026

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

Authorized official

Name
Casey Robertson
Title
President
Phone
(936) 208-1295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800

Mailing address

PO Box 843577
Dallas, TX 75284-3577
Phone (800) 756-7999

Other identifiers 16

IdentifierTypeStateIssuer
0893235OtherLACIGNA 20 SPRINT
100699130AMedicaidOK
90041OtherLABLUE CROSS
HH7000OtherTXBCBSTX
01300144MedicaidKY
127SCH170OtherALBCBSAL
190041OtherLASTERLING OPTION 1
015787302MedicaidMO
0787749-01MedicaidTX
1744379MedicaidLA
0787749OtherLAAMERIGROUP
1410667MedicaidLA
340009OtherLAVALUE OPTION -MEDICAID HM
094645102OtherLASUPERIOR HEALTH
094645102MedicaidTX
108511105MedicaidAR

Other names 1

  • CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031013000025 LA Part A Provider - Hospital 8628980554 Practice locations: Stonewall, LA; Shreveport, LA; Bossier City, LA
O20160125000695 LA Part B Supplier - Intensive Cardiac Rehabilitation 8628980554 Receives reassigned benefits from 1 practitioner
Practice locations: Shreveport, LA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417950106. Details of each certification follow.

Hospital certification: CCN 190041

Legal name
CHRISTUS HEALTH NORTHERN LOUISIANA
Doing business as
CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 30, 2025
Beds
242
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Jun 5, 1913 in LA
Enrollment address
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Main/Primary Hospital Location
Hospital subgroups
Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospital

Medicare Care Compare
Listed as
Christus Shreveport-Bossier Health SystemCCN 190041 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Christus Schumpert Health System4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2541 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4138

4187 Viking Dr
Bossier City, LA 71111
Phone (318) 681-1280

1 Saint Mary Pl
#7
Shreveport, LA 71101
Phone (318) 681-4291

1449 E Bert Kouns Industrial Loop
Ste 102
Shreveport, LA 71105
Phone (318) 681-4282

1500 Line Ave
Ste A
Shreveport, LA 71101
Phone (318) 300-4926

1505 E Bert Kouns Industrial Loop
#101
Shreveport, LA 71105
Phone (318) 519-7555

1505 E Bert Kouns Industrial Loop
#201
Shreveport, LA 71105
Phone (318) 681-4103

1505 E Bert Kouns Industrial Loop
Ste 102
Shreveport, LA 71105
Phone (318) 681-4640

8835 Line Ave
Ste 100
Shreveport, LA 71106
Phone (318) 681-5437

9425 Healthplex Dr
Ste A
Shreveport, LA 71106
Phone (318) 681-6645

9425 Healthplex Dr
Ste C
Shreveport, LA 71106
Phone (318) 681-6771

9425 Healthplex Dr
Ste D
Shreveport, LA 71106
Phone (318) 681-7800

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Christopher Glenney Individual Corporate DirectorBoard Member Jan 1, 2021
Christus Health Organization, Irving, TX Corporation, Non-profit, Chain home office 5% Or Greater Indirect Ownership Interest May 1, 2024 100%
Casey D Robertson Individual Corporate OfficerCeo Dec 4, 2023
W-2 Managing EmployeeCeo Dec 4, 2023
Christus Northeast Texas and Northern Louisiana Health System Corp Organization, Irving, TX Corporation, Non-profit 5% Or Greater Direct Ownership Interest May 1, 2024 100%
Shannon Dacus Individual Corporate DirectorBoard Member May 1, 2024
Rita Fanning Individual Corporate DirectorBoard Member May 1, 2024
Theresa M Popp Individual Corporate DirectorBoard Member May 1, 2024
Jeb Jones Individual Corporate DirectorBoard Member May 1, 2024
Karla Bounds Individual Corporate OfficerCfo Mar 23, 2026
Mark R Anderson Individual Corporate DirectorBoard Member May 1, 2024
Sonia Acosta Individual Corporate DirectorCorporate Secretary Sep 16, 2024
Steven P Keuer Individual Corporate DirectorBoard Member Jan 1, 2021

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 49

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 49

Practitioners & affiliated clinicians

Practitioners 89

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 89

Affiliated clinicians 670

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 670

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792540800000",
    "number": "1417950106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843577",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752843577",
            "telephone_number": "800-756-7999",
            "fax_number": "469-282-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711056800",
            "telephone_number": "318-681-4500",
            "fax_number": "469-282-1791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTUS HEALTH NORTHERN LOUISIANA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-10-21",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "936-208-1295"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA 20 SPRINT",
            "identifier": "0893235",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100699130A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "90041",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "HH7000",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01300144",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSAL",
            "identifier": "127SCH170",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING OPTION 1",
            "identifier": "190041",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015787302",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0787749-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1744379",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "0787749",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1410667",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTION -MEDICAID HM",
            "identifier": "340009",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR HEALTH",
            "identifier": "094645102",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094645102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108511105",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHRISTUS SHREVEPORT-BOSSIER HEALTH SYSTEM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.