Active NPI
Jon C Barnes, FNP
- Family Nurse Practitioner
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN073142
- Practice address
- 8660 Fern Ave Ste 105
Shreveport, LA 71105-5657 - Phone
- (318) 797-0009
- Fax
- (318) 797-0092
- NPI assigned
- Jun 9, 2005
- Last updated
- Oct 13, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN073142 | LA | Primary |
Addresses
Primary practice location
8660 Fern Ave Ste 105
Shreveport, LA 71105-5657
Mailing address
8660 Fern Ave Ste 105
Shreveport, LA 71105-5657
Phone (318) 797-0009
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1131831 | Medicaid | LA |
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, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8660 Fern Ave
Suite 120
Shreveport, LA 71105-5657
Phone (318) 841-9999
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Webster Emergency Group LLC | Nurse Practitioner | Current | Accepting new patients |
| Ark-la-Tex Spine Apmc | Current | Accepting new patients | |
| Shreveport Family Medicine Inc | Past | Accepting new patients | |
| Ark-la-Tex, LLC | Past | Accepting new patients |
Locations
1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042
8660 Fern Ave
Ste 105
Shreveport, LA 71105
Phone (318) 797-0009
8660 Fern Ave
Ste 120
Shreveport, LA 71105
Phone (318) 347-6203
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DBECCA
- https://fhir4.healow.com/fhir/r4/DBECCA/Endpoint/DBECCA
Organizations & group practices 5
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.
-
- Interventional Pain Medicine Physician
- Shreveport, LA
- NPI 1851737506
-
- Emergency Medicine Physician
- Minden, LA
- NPI 1245209527
Nurse Practitioner
-
- Family Nurse Practitioner
- Shreveport, LA
- NPI 1013217595
-
- Clinical Medical Laboratory
- Shreveport, LA
- NPI 1215258645
-
- Adult Medicine Physician
- Shreveport, LA
- NPI 1003975079
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Christus Shreveport-Bossier Health System
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1689678534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8660 FERN AVE STE 105",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055657",
"telephone_number": "318-797-0009",
"fax_number": "318-797-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8660 FERN AVE STE 105",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711055657",
"telephone_number": "318-797-0009",
"fax_number": "318-797-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNES",
"first_name": "JON",
"middle_name": "C",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "RN073142",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1131831",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.