Individual provider Active NPI

Jacob Sommers, FNP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1467192203
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
224082 Issued in LA
Practice address
7777 Hennessy Blvd Ste 103
Baton Rouge, LA 70808-4363
Phone
(225) 215-0250
Fax
(225) 215-1688
NPI assigned
Mar 30, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 224082 LA Primary
Family Medicine Physician 207Q00000X 224082 LA
Nurse Practitioner 363L00000X 224082 LA
Family Nurse Practitioner 363LF0000X 1072336 TX

Addresses

Primary practice location

7777 Hennessy Blvd Ste 103
Baton Rouge, LA 70808-4363

Mailing address

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 215-0250

Other practice location 1

1310 Paluxy Rd
Granbury, TX 76048-5655
Phone (817) 573-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220822002055 TX Practitioner - Nurse Practitioner 1355724568 Reassigns benefits to 1 organization
I20250805002654 LA Practitioner - Nurse Practitioner 1355724568 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
Our Lady of the Lake Physician Group LLCGroup PAC ID 4587849781, 637 clinicians

Practice addresses (Care Compare)

7777 Hennessy Blvd
Suite 103
Baton Rouge, LA 70808-4363
Phone (225) 215-2255

Hospital & facility affiliations

  • Our Lady of the Lake Regional Medical Center Hospital, Baton Rouge, LA, CCN 190064

Merit-based Incentive Payment System (MIPS)

Final score
43.55 of 100Reported as group
Quality
7.63
Improvement activities
40
Cost
81.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224082LAMDFamily Medicine Physician
1072336TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Lady of the Lake Physician Group LLC Family Medicine Current Accepting new patients
Our Lady of the Lake Physician Group LLC CurrentSince Aug 10, 2025 Accepting new patients
Lake Granbury Hospital-Based Professional Services Nurse Practitioner CurrentSince Feb 12, 2024 Accepting new patients
Our Lady of the Lake Physician Group LLC Nurse Practitioner Past Accepting new patients

Locations

7777 Hennessy Blvd
Ste 103
Baton Rouge, LA 70808
Phone (225) 215-2255

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

2647 S Saint Elizabeth Blvd
Ste 320
Gonzales, LA 70737
Phone (225) 215-0250

1310 Paluxy Rd
Granbury, TX 76048
Phone (817) 573-2273

Organizations & group practices 4

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": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1467192203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S SHERWOOD FOREST BLVD",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708166038",
            "telephone_number": "225-215-0250",
            "fax_number": "225-765-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 HENNESSY BLVD STE 103",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084363",
            "telephone_number": "225-215-0250",
            "fax_number": "225-215-1688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1310 Paluxy Rd",
            "address_purpose": "LOCATION",
            "city": "Granbury",
            "state": "TX",
            "postal_code": "760485655",
            "country_code": "US",
            "telephone_number": "817-573-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMMERS",
        "first_name": "JACOB",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-30",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224082",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "224082",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "224082",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1072336",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.