Individual provider Active NPI

Jennifer Lynn Sunderland, MSN, APRN, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Minden, LA
National Provider Identifier
1659948651
Registry record updated Jun 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
220309 Issued in LA
Practice address
603 Fleming LN
Minden, LA 71055-3073
Phone
(318) 371-9979
Fax
(318) 371-9949
NPI assigned
Jun 8, 2021
Last updated
Jun 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 220309 LA Primary

Addresses

Primary practice location

603 Fleming LN
Minden, LA 71055-3073

Mailing address

603 Fleming LN
Minden, LA 71055-3073
Phone (318) 371-9979

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
I20220124002065 LA Practitioner - Nurse Practitioner 4486046406 Reassigns benefits to 5 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
WKMC Cardiovascular ConsultantsGroup PAC ID 0941420061, 34 clinicians

Practice addresses (Care Compare)

2727 Hearne Ave
Suite 301
Shreveport, LA 71103-3918
Phone (318) 631-6400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.86 of 100Reported as group
Quality
91.31
Promoting interoperability
95
Improvement activities
40
Cost
79.05

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Homer Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Northeast Louisiana Physicians, LLC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients
Homer Memorial Hospital CurrentSince Apr 1, 2024 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Mar 31, 2023 Accepting new patients
WKMC Cardiovascular Consultants CurrentSince Oct 16, 2021 Accepting new patients
Cogent Healthcare of Texas, PA Nurse Practitioner CurrentSince Jun 22, 2022 Accepting new patients

Locations

2400 Hospital Dr
Ste 350
Bossier City, LA 71111
Phone (318) 212-7902

2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000

926 Frances Dr
Haynesville, LA 71038
Phone (318) 624-0554

104 Morris Cir
Homer, LA 71040
Phone (318) 927-1110

620 E College St
Homer, LA 71040
Phone (318) 927-2024

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

102 S Monroe St
Minden, LA 71055
Phone (318) 377-3425

1809 Northpointe Ln
Ste 130
Ruston, LA 71270

1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138

2727 Hearne Ave
Ste 301
Shreveport, LA 71103

Interoperability endpoints

  • Direct secure messaging: minjsunde@yourcarecommunity.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1623110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623110400000",
    "number": "1659948651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 FLEMING LN",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553073",
            "telephone_number": "318-371-9979",
            "fax_number": "318-371-9949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 FLEMING LN",
            "city": "MINDEN",
            "state": "LA",
            "postal_code": "710553073",
            "telephone_number": "318-371-9979",
            "fax_number": "318-371-9949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDERLAND",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, ACNPC-AG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-08",
        "last_updated": "2021-06-08",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "220309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minden, LA

Sources for this page

Verify at the official NPI Registry.