Individual provider Active NPI

Jeremy Todd Rollins, FNP

  • Family Nurse Practitioner
  • Winnsboro, LA
National Provider Identifier
1659510147
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP05642 Issued in LA
Practice address
3326 Front St
Suite B
Winnsboro, LA 71295-6487
Phone
(318) 425-7333
Fax
(318) 435-9061
NPI assigned
Feb 6, 2009
Last updated
Feb 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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 AP05642 LA Primary

Addresses

Primary practice location

3326 Front St
Suite B
Winnsboro, LA 71295-6487

Mailing address

725 Highway 3210
Gilbert, LA 71336-5833

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
I20090804000835 LA Practitioner - Nurse Practitioner 0143373464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Winnsboro Medical ClinicGroup PAC ID 4183511017, 5 clinicians

Practice addresses (Care Compare)

3326 Front St
Suite B
Winnsboro, LA 71295-6418
Phone (318) 435-7333

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.6 of 100Reported as group
Quality
87.57
Improvement activities
40
Cost
73.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05642LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winnsboro Medical Clinic CurrentSince Jun 1, 2020 Accepting new patients
Winnsboro Medical Clinic CurrentSince Jun 1, 2020 Accepting new patients

Locations

3326 Front St
Ste B
Winnsboro, LA 71295
Phone (318) 435-7333

Interoperability endpoints

  • Direct secure messaging: jeremy.rollins@3538.securemail.prognocis.com

Organizations & group practices 2

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 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": "1233878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233878400000",
    "number": "1659510147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 HIGHWAY 3210",
            "city": "GILBERT",
            "state": "LA",
            "postal_code": "713365833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3326 FRONT ST",
            "address_2": "SUITE B",
            "city": "WINNSBORO",
            "state": "LA",
            "postal_code": "712956487",
            "telephone_number": "318-425-7333",
            "fax_number": "318-435-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "JEREMY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-06",
        "last_updated": "2009-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP05642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnsboro, LA

Sources for this page

Verify at the official NPI Registry.