Individual provider Active NPI

Jennifer Ann Calvert, NP

  • Family Nurse Practitioner
  • Ruston, LA
National Provider Identifier
1598280752
Registry record updated Aug 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09524 Issued in LA
Practice address
401 E Vaughn Ave
Ruston, LA 71270-5950
Phone
(318) 254-2456
NPI assigned
Aug 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 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 AP09524 LA Primary

Addresses

Primary practice location

401 E Vaughn Ave
Ruston, LA 71270-5950

Mailing address

1120 Brookhaven Ave
Ruston, LA 71270-8505
Phone (318) 255-1739

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
I20170905002102 LA Practitioner - Nurse Practitioner 1052684537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Louisiana Emergency Physicians, LLPGroup PAC ID 9638246846, 28 clinicians
CLHG-Ruston LLCGroup PAC ID 7315361425, 24 clinicians

Practice addresses (Care Compare)

401 E Vaughn Ave
Northern la Med Ctr
Ruston, LA 71270-5950
Phone (318) 254-2100

411 E Vaughn Ave
Suite 104
Ruston, LA 71270-5975
Phone 31825424535975

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CLHG-Ruston LLC Family CurrentSince Nov 28, 2022 Accepting new patients
CLHG-Ruston LLC CurrentSince Nov 28, 2022 Accepting new patients
Northern Louisiana Emergency Physicians LLP CurrentSince Jul 25, 2017 Accepting new patients
Northern Louisiana Emergency Physicians, LLP Nurse Practitioner CurrentSince Jul 25, 2017 Accepting new patients
CLHG-Ruston LLC Current Accepting new patients
CLHG-Ruston LLC Past Accepting new patients

Locations

401 E Vaughn Ave
Ruston, LA 71270
Phone (318) 254-2100

411 E Vaughn Ave
Ste 104
Ruston, LA 71270
Phone (318) 254-2453

Interoperability endpoints

  • Direct secure messaging: jennifer.calvert.1@26990.direct.athenahealth.com

Organizations & group practices 9

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": "1502236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502236800000",
    "number": "1598280752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 BROOKHAVEN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712708505",
            "telephone_number": "318-255-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E VAUGHN AVE",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705950",
            "telephone_number": "318-254-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVERT",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-09",
        "last_updated": "2017-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ruston, LA

Sources for this page

Verify at the official NPI Registry.