Individual provider Active NPI

John Morgan Pearce Jr., FNP

  • Family Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1457041196
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
223816 Issued in LA
Practice address
600 S Pine St
Deridder, LA 70634-4942
Phone
(337) 462-7100
NPI assigned
May 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 223816 LA Primary

Addresses

Primary practice location

600 S Pine St
Deridder, LA 70634-4942

Mailing address

9045 Main St
Deridder, LA 70634-8954
Phone (337) 401-9537

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
I20241018000939 LA Practitioner - Nurse Practitioner 5496287120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CLHG-LeesvilleGroup PAC ID 4082963301, 25 clinicians

Practice addresses (Care Compare)

201 S Arkansas St
Leesville, LA 71446
Phone (337) 239-7227

Hospital & facility affiliations

  • Byrd Regional Hospital Hospital, Leesville, LA, CCN 190164

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223816LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Leesville CurrentSince Oct 4, 2024 Accepting new patients
CLHG-Leesville Current Accepting new patients
CLHG-Leesville CurrentSince Oct 4, 2024 Accepting new patients
CLHG-Leesville Past Accepting new patients
Byrd Medical Clinic Inc Past Accepting new patients

Locations

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

Interoperability endpoints

  • Direct secure messaging: john.pearce.1@17837.direct.athenahealth.com

Organizations & group practices 11

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.

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1457041196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9045 MAIN ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706348954",
            "telephone_number": "337-401-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S PINE ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344942",
            "telephone_number": "337-462-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARCE",
        "first_name": "JOHN",
        "middle_name": "MORGAN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "223816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.