Individual provider Active NPI

Jane Michelle Hartman, APRN, FNP-C

  • Family Nurse Practitioner
  • Dequincy, LA
National Provider Identifier
1689406431
Registry record updated May 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200646 Issued in LA
Practice address
302 W 4TH St
Dequincy, LA 70633-3404
Phone
(337) 222-5524
Fax
(337) 483-1037
NPI assigned
Aug 19, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 200646 LA
Family Nurse Practitioner 363LF0000X 200646 LA Primary

Addresses

Primary practice location

302 W 4TH St
Dequincy, LA 70633-3404

Mailing address

3173 Bunker Hill Rd
Lake Charles, LA 70611-5909
Phone (817) 627-7481

Other practice location 1

308 W 4th St
Dequincy, LA 70633-3404
Phone (337) 236-1416

Other practice location 2

277 N Highway 171 Ste 10
Lake Charles, LA 70611-5374
Phone (337) 217-7762

Other identifiers 1

IdentifierTypeStateIssuer
1689406431MedicaidLA

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
I20250620001759 LA Practitioner - Nurse Practitioner 0840702411 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Imperial Health LLPGroup PAC ID 7719886779, 75 clinicians
Dennis G Walker Family ClinicGroup PAC ID 9830529684, 3 clinicians

Practice addresses (Care Compare)

277 Hwy 171
Suite 10
Lake Charles, LA 70611-5628
Phone (337) 217-7762

421 N Ave F
Crowley, LA 70526-5044
Phone (337) 514-4757

Hospital & facility affiliations

  • Allegiance Home Health of Southwest Louisiana, LLC Home health agency, Deridder, LA, CCN 197520
  • Dequincy Memorial Hospital Hospital, Dequincy, LA, CCN 191307
  • West Calcasieu Cameron Hospital Hospital, Sulphur, LA, CCN 190013

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP CurrentSince Sep 1, 2025 Accepting new patients
Imperial Health, LLP Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Hartman Family Care LLC Single Specialty CurrentSince Oct 21, 2025 Accepting new patients

Locations

308 W 4th St
Dequincy, LA 70633
Phone (337) 236-1416

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

501 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 312-8258

277 N Highway 171
Ste 10
Lake Charles, LA 70611
Phone (337) 217-7762

Interoperability endpoints

  • Direct secure messaging: jane.hartman@495864704139268.direct.elationemr.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779580800000",
    "number": "1689406431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3173 BUNKER HILL RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706115909",
            "telephone_number": "817-627-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333404",
            "telephone_number": "337-222-5524",
            "fax_number": "337-483-1037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Dequincy",
            "state": "LA",
            "postal_code": "706333404",
            "country_code": "US",
            "telephone_number": "337-236-1416",
            "fax_number": "337-231-8450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "277 N Highway 171 Ste 10",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706115374",
            "country_code": "US",
            "telephone_number": "337-217-7762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "JANE",
        "middle_name": "MICHELLE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2026-05-24",
        "certification_date": "2026-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "200646",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "200646",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689406431",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dequincy, LA

Sources for this page

Verify at the official NPI Registry.