Individual provider Active NPI

Jennifer Russell, FNP-C

  • Nurse Practitioner
  • Slidell, LA
National Provider Identifier
1659028108
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
224396 Issued in LA
Practice address
1810 Lindberg Dr Ste 2100
Slidell, LA 70458-8160
Phone
(985) 649-2700
Fax
(985) 649-2950
NPI assigned
Mar 4, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 224396 LA Primary

Addresses

Primary practice location

1810 Lindberg Dr Ste 2100
Slidell, LA 70458-8160

Mailing address

PO Box 2209
Slidell, LA 70459-2209
Phone (985) 649-2700

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
I20240125002667 LA Practitioner - Nurse Practitioner 7012360084 Reassigns benefits to 4 organizations

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
CH MSSP Services la LLCGroup PAC ID 6901206416, 44 clinicians
Curana Health of Louisiana LLCGroup PAC ID 4880731355, 140 clinicians

Practice addresses (Care Compare)

100 Kingston Rd
Sulphur, LA 70663-4016
Phone (337) 991-9276

101 Judge Tanner Blvd
Suite 300
Covington, LA 70433-7506
Phone (985) 888-8750

2900 Westfork Dr
Suite 401
Baton Rouge, LA 70827-0004
Phone (877) 260-4747

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224396LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Calcasieu Urgent Care, LLC CurrentSince Jan 5, 2024 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Jan 5, 2024 Accepting new patients
Curana Health of Louisiana LLC CurrentSince Nov 11, 2025 Accepting new patients
East Jefferson Physicians Group LLC CurrentSince Apr 7, 2025 Accepting new patients
CH MSSP Services la LLC CurrentSince Nov 11, 2025 Accepting new patients
Iteld Bernstein and Associates LLC Nurse Practitioner PastSince Mar 6, 2022 Accepting new patients
Metairie Physician Services Inc. Nurse Practitioner Past Accepting new patients

Locations

2900 Westfork Dr
Ste 401
Baton Rouge, LA 70827
Phone (225) 953-0895

101 Judge Tanner Blvd
Ste 300
Covington, LA 70433
Phone (985) 888-8750

387 W Railroad Ave
Independence, LA 70443
Phone (985) 606-4080

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

4228 Houma Blvd
Ste 530
Metairie, LA 70006
Phone (504) 456-8415

4320 Houma Blvd
Fl 6
Metairie, LA 70006
Phone (504) 503-4109

600 E Flournoy Lucas Rd
Shreveport, LA 71115
Phone (318) 212-2000

100 Kingston Rd
Sulphur, LA 70663
Phone (337) 625-5810

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1646352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646352000000",
    "number": "1659028108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2209",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704592209",
            "telephone_number": "985-649-2700",
            "fax_number": "985-649-8488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 LINDBERG DR STE 2100",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704588160",
            "telephone_number": "985-649-2700",
            "fax_number": "985-649-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "224396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

Sources for this page

Verify at the official NPI Registry.