Individual provider Active NPI

Sharon Jackson

  • Family Nurse Practitioner
  • Marrero, LA
National Provider Identifier
1447799390
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09011 Issued in LA
Practice address
1220 Barataria Blvd
Marrero, LA 70072-3769
Phone
(504) 340-6711
Fax
(504) 348-3935
NPI assigned
Feb 13, 2017
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09011 LA Primary

Addresses

Primary practice location

1220 Barataria Blvd
Marrero, LA 70072-3769

Mailing address

1220 Barataria Blvd
Marrero, LA 70072-3769
Phone (504) 340-6711

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
I20170503000700 LA Practitioner - Nurse Practitioner 5799062642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Westcare Medical Center, IncGroup PAC ID 8628982550, 4 clinicians

Practice addresses (Care Compare)

1220 Barataria Blvd
Marrero, LA 70072-3769
Phone (504) 340-6711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
90.84

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09011LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Westcare Medical Center, Inc CurrentSince Feb 13, 2017 Accepting new patients

Locations

1220 Barataria Blvd
Marrero, LA 70072
Phone (504) 340-6711

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GABFAD

Organizations & group practices 1

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": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1447799390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723769",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723769",
            "telephone_number": "504-340-6711",
            "fax_number": "504-348-3935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "SHARON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.