Active NPI
Jennifer Lynn Sunderland, MSN, APRN, ACNPC-AG
- Acute Care Nurse Practitioner
- Minden, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 220309
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- Quality
- 81.42
- Promoting interoperability
- 94.6
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.86 of 100
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homer Memorial Hospital | Current | Accepting new patients | |
| Northeast Louisiana Physicians, LLC | Nurse Practitioner | Current | Accepting new patients |
| Homer Memorial Hospital | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| WKMC Cardiovascular Consultants | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Nurse Practitioner | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Shreveport, LA
- NPI 1801205802
-
dba Claiborne Memorial Medical Center
- Emergency Medicine Physician
- Homer, LA
- NPI 1609066646
-
- Internal Medicine Physician
- Bossier City, LA
- NPI 1407637671
Nurse Practitioner
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
LA, Nurse Practitioner
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
LA, Nurse Practitioner
-
dba Claiborne Memorial Medical Center
- Substance Use Disorder Rehabilitation Clinic/Center
- Homer, LA
- NPI 1306441175
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Claiborne Memorial Medical Center
- General Acute Care Hospital
- Homer, LA
- NPI 1831183748
-
dba WK Bossier Health Center
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
dba Willis Knighton South Hospital
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
dba WK Pierremont Health Center
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.