Kortney Jacobsen, NURSE PRACTITIONER
Individual provider Active NPI Nurse Practitioner · Scott, LA
NPI 1497100580 · NPPES record last updated Jan 21, 2025
Key facts
- NPI
- 1497100580
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- AP212553 (LA)
- Practice address
- 203 Westgate Road
Scott, LA 70506 - Phone
- (337) 326-4569
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hulin Urgent Care Services LLC
Ahs Walk in Clinic Inc
Practice addresses (Care Compare)
1110 E Saint Peter St
New Iberia, LA 70560-3932
Phone (337) 364-1166
203 Westgate Rd
Lafayette, LA 70506-2712
Phone (337) 223-8401
3013 Veterans Memorial Dr
Suite 101
Abbeville, LA 70510-4152
Phone (337) 385-5008
6011 Ambassador Caffery Pkwy
Youngsville, LA 70592-5170
Phone (337) 237-5211
6770 Johnston St
B
Lafayette, LA 70503-6202
Phone (337) 326-5702
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200814000295 | LA | Practitioner - Nurse Practitioner | 4183916059 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP212553 | LA | MD | Nurse Practitioner |
| 6211903-4405 | UT | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hulin Urgent Care Services LLC | Current |
Accepting new patients | |
| Hulin Urgent Care Services LLC | Current |
Accepting new patients | |
| Ahs Walk in Clinic Inc | Current |
Accepting new patients | |
| Hulin Urgent Care Services, LLC | Past |
Accepting new patients |
Locations (25 of 29)
6420 Groom Rd
Baker, LA 70714
Phone (225) 412-2781
2100 E Madison Ave
Bastrop, LA 71220
Phone (318) 239-4413
8440 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 596-9520
1970 W Laurel Ave
Eunice, LA 70535
Phone (337) 465-2159
965 Sterlington Hwy
Farmerville, LA 71241
Phone (318) 608-4681
3217 Johnston St
Lafayette, LA 70503
Phone (337) 364-1166
203 Westgate Rd
Lafayette, LA 70506
Phone (337) 223-8401
6770 Johnston St
Ste B
Lafayette, LA 70503
Phone (337) 326-5702
3829 Ryan St
Ste 300
Lake Charles, LA 70605
Phone (337) 399-0001
160 San Antonio Ave
Many, LA 71449
Phone (318) 353-3412
863 Tunica Dr E
Marksville, LA 71351
Phone (318) 717-1175
3013 Veterans Memorial Dr
Ste 101
Meaux, LA 70510
Phone (337) 385-5008
1034 Homer Rd
Minden, LA 71055
Phone (318) 639-4664
4015 Sterlington Rd
Monroe, LA 71203
Phone (318) 543-0106
1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166
1050 E Admiral Doyle Dr
Ste A
New Iberia, LA 70560
Phone (337) 376-0515
300 Hospital Rd
New Roads, LA 70760
Phone (225) 310-6501
1902 Highway 165 S
Oakdale, LA 71463
Phone (318) 215-7806
1723 Creswell Ln Ext
Opelousas, LA 70570
Phone (337) 326-4569
58330 Belleview Rd
Plaquemine, LA 70764
Phone (225) 320-0703
1316 The Blvd
Rayne, LA 70578
Phone (337) 399-0067
117 N Service Rd E
Ruston, LA 71270
Phone (318) 406-0360
3333 Pontchartrain Dr
Slidell, LA 70458
Phone (985) 238-0320
1918 S Arkansas St
Springhill, LA 71075
Phone (318) 277-2581
4319 Carter St
Vidalia, LA 71373
Phone (318) 414-2190
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6211903-4405 | UT | |
| Nurse Practitioner | 363L00000X | AP212553 | LA | Yes |
Addresses
Primary practice location
203 Westgate Road
Scott, LA 70506
Mailing address
203 Westgate Road
Scott, LA 70506
Phone (435) 749-1488
Other practice location 1
3556 W 9800 S
Ste #101
South Jordan, UT 84095-3211
Phone (801) 567-9780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2539957 | Medicaid | LA |
Other names
- Kortney McMullin
Other providers in Scott, LA
- Valentini Imvriotis
- Institutional Pharmacies of Louisiana L L C
- Intrathecal Compounding Specialists LLC
- J&J'S Caring Transportation, LLC
- Alaia Jackson
- Alonda Jenkins
- Chad Jimenez
- Carola Jolivette
- Bradley Michael Katt
- Taleithia N Keys
All providers in Scott, LA · Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.