Individual provider Active NPI

Jennifer Cameron Hart, NP

  • Nurse Practitioner
  • Shreveport, LA
National Provider Identifier
1780815985
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN110584APO5876 Issued in LA
Practice address
5948 N Market St
Shreveport, LA 71107-2017
Phone
(318) 375-0001
Fax
(318) 375-0002
NPI assigned
Aug 5, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN110584APO5876 LA Primary

Addresses

Primary practice location

5948 N Market St
Shreveport, LA 71107-2017

Mailing address

5948 N Market St
Shreveport, LA 71107-2017
Phone (318) 375-0001

Other practice location 1

188 Burt Blvd
Benton, LA 71006-4900
Phone (318) 965-5017

Other practice location 2

112 N Forrest Rd
Plain Dealing, LA 71064-4031
Phone (318) 326-7272

Other practice location 3

815 S Pine St
Vivian, LA 71082-3314
Phone (318) 375-3239

Other identifiers 2

IdentifierTypeStateIssuer
2197711MedicaidLA
AP05876OtherLALICENSE

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
I20120618000112 LA Practitioner - Nurse Practitioner 6103080445 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blanchard MedicalGroup PAC ID 8325450315, 4 clinicians

Practice addresses (Care Compare)

5948 N Market St
Shreveport, LA 71107-2017
Phone (318) 375-4097

Hospital & facility affiliations

  • Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
  • Centerwell Home Health Home health agency, Coushatta, LA, CCN 197334
  • North Caddo Medical Center Hospital, Vivian, LA, CCN 191304
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN110584APO5876LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Caddo Hospital Service District CurrentSince Jan 25, 2023 Accepting new patients
Benton Medical CurrentSince Feb 24, 2023 Accepting new patients
North Caddo Hospital Service District CurrentSince Feb 24, 2023 Accepting new patients
North Caddo Hospital Service District Current Accepting new patients
South Bossier Medical PastSince Jan 28, 2024 Accepting new patients
North Caddo Medical Center Community RX PastSince May 25, 2025 Accepting new patients

Locations

188 Burt Blvd
Benton, LA 71006
Phone (318) 965-1000

112 N Forrest Rd
Plain Dealing, LA 71064
Phone (318) 326-7272

5948 N Market St
Shreveport, LA 71107
Phone (318) 375-0001

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

Interoperability endpoints

  • Direct secure messaging: jenniferhart@ncmc.allscriptsdirect.net

Organizations & group practices 7

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 8

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": "1249430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1780815985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5948 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072017",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5948 N MARKET ST",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711072017",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Burt Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "LA",
            "postal_code": "710064900",
            "country_code": "US",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-2019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-326-7282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823314",
            "country_code": "US",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-5938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HART",
        "first_name": "JENNIFER",
        "middle_name": "CAMERON",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-05",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "RN110584APO5876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2197711",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "AP05876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.