Individual provider Active NPI

Jennifer E Mosby, NURSE PRACTITIONER

  • Acute Care Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1740060656
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
215500 Issued in OK
Practice address
8001 Youree Dr Ste 4007
Shreveport, LA 71115-2302
Phone
(318) 212-3821
Fax
(318) 212-3825
NPI assigned
Sep 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 957662 TX
Acute Care Nurse Practitioner 363LA2100X 239806 LA
Acute Care Nurse Practitioner 363LA2100X 215500 OK Primary

Addresses

Primary practice location

8001 Youree Dr Ste 4007
Shreveport, LA 71115-2302

Mailing address

8001 Youree Dr Ste 4007
Shreveport, LA 71115-2302
Phone (318) 212-3821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231215002349 OK Practitioner - Nurse Practitioner 7416306493 Reassigns benefits to 1 organization
I20250409000305 LA Practitioner - Nurse Practitioner 7416306493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Pierremont HospitalistsGroup PAC ID 4082669015, 24 clinicians

Practice addresses (Care Compare)

8001 Youree Dr
Suite 4007
Shreveport, LA 71115-2302
Phone (318) 212-3821

Hospital & facility affiliations

  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041
  • Springhill Medical Center Hospital, Springhill, LA, CCN 190088

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239806LAMDAcute Care Nurse Practitioner
215500OKMDAcute Care Nurse Practitioner
957662TXMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Dec 18, 2023 Accepting new patients
WK Pierremont Hospitalists CurrentSince Mar 25, 2025 Accepting new patients

Locations

8001 Youree Dr
Ste 4007
Shreveport, LA 71115
Phone (318) 212-3821

8001 Youree Dr
Shreveport, LA 71115
Phone (318) 212-3000

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6161 S Yale Ave
Tulsa, OK 74136
Phone (918) 494-2200

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1740060656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 4007",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3821",
            "fax_number": "318-212-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8001 YOUREE DR STE 4007",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711152302",
            "telephone_number": "318-212-3821",
            "fax_number": "318-212-3825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSBY",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "957662",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "239806",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OK",
            "license": "215500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.