Individual provider Active NPI

Jacqueline Ann Schexnyder, CRNP

  • Adult Health Nurse Practitioner
  • Lecompte, LA
National Provider Identifier
1477537066
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP04075 Issued in LA
Practice address
2810 Highway 72 S
Lecompte, LA 71360-7134
Phone
(318) 466-2105
Fax
(318) 483-5117
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP04075 LA Primary

Addresses

Primary practice location

2810 Highway 72 S
Lecompte, LA 71360-7134

Mailing address

PO Box 124
Lecompte, LA 71346-0124
Phone (318) 729-6003

Other identifiers 2

IdentifierTypeStateIssuer
1128155MedicaidLA
662OtherLANURSE PRACTITIONER ADULT HEALTH

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
I20110204000824 LA Practitioner - Nurse Practitioner 4981884103 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP04075LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice CurrentSince Mar 22, 2021 Accepting new patients
Lake Professionals LLC CurrentSince Feb 17, 2023 Accepting new patients
Alexandria Gastroenterology Associates Inc PastSince Jul 1, 1990 Accepting new patients
Rapides Regional Physician Group Specialty Care, LLC PastSince Oct 12, 2019 Accepting new patients
John S. McCabe, M.D., Apc Past Accepting new patients
Alexandri VA Medical Center Past Accepting new patients

Locations

301 4th St
Ste 1A
Alexandria, LA 71301
Phone (318) 445-9306

301 4th St
Ste 30146
Alexandria, LA 71301
Phone (318) 473-8188

501 W Saint Mary Blvd
Ste 308
Lafayette, LA 70506
Phone (337) 234-1119

5505 Shreveport Hwy
Pineville, LA 71360
Phone (318) 441-5900

1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402

1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1477537066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "LECOMPTE",
            "state": "LA",
            "postal_code": "713460124",
            "telephone_number": "318-729-6003",
            "fax_number": "318-483-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 HIGHWAY 72 S",
            "city": "LECOMPTE",
            "state": "LA",
            "postal_code": "713607134",
            "telephone_number": "318-466-2105",
            "fax_number": "318-483-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHEXNYDER",
        "first_name": "JACQUELINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2021-09-13",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP04075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1128155",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSE PRACTITIONER ADULT HEALTH",
            "identifier": "662",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lecompte, LA

Sources for this page

Verify at the official NPI Registry.