NPIMap

Individual provider Active NPI

Jennifer Colleen Flavin Jacobs, MPAS, PA-C

  • Physician Assistant
  • Lake Charles, LA
National Provider Identifier
1801293899
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
200769 Issued in LA
Practice address
4150 Nelson Rd Ste 1
Lake Charles, LA 70605-4148
Phone
(337) 656-7940
Fax
(337) 761-4673
NPI assigned
Nov 19, 2014
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 200769 LA Primary

Addresses

Primary practice location

4150 Nelson Rd Ste 1
Lake Charles, LA 70605-4148

Mailing address

4150 Nelson Rd Ste 1
Lake Charles, LA 70605-4148
Phone (337) 656-7940

Other practice location 1

10319 Jefferson Hwy
Baton Rouge, LA 70809-2730
Phone (225) 214-9352

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141229002131 LA Practitioner - Physician Assistant 5597088476 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Lake Charles Urgent CareGroup PAC ID 1052580644, 14 clinicians
Lcuc Family Physicians Urgent Care LLCGroup PAC ID 8325327935, 13 clinicians

Practice addresses (Care Compare)

104 Acadia Park Dr
Raceland, LA 70394-2618
Phone (985) 537-3211

2400 Ryan St
Lake Charles, LA 70601-7322
Phone (337) 433-1260

301 S Cities Service Hwy
Sulphur, LA 70663-6405
Phone (337) 888-3171

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
200769LAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Nov 30, 2023 Accepting new patients
Lake Charles Primary Care and Wellness CurrentSince Aug 22, 2025 Accepting new patients
Lake Charles Urgent Care CurrentSince Aug 8, 2021 Accepting new patients
Ochsner Clinic, LLC CurrentSince Nov 30, 2023 Accepting new patients
Convenient Care LLC CurrentSince Dec 5, 2014 Accepting new patients
Convenient Care LLC CurrentSince Dec 5, 2014 Accepting new patients
Lake Urgent Care Ascension LLC CurrentSince Dec 5, 2014 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

1776 N Airline Hwy
Ste A
Gonzales, LA 70737
Phone (225) 647-4988

1905 Country Club Rd
Lake Charles, LA 70605
Phone (337) 990-8000

1905 Country Club Rd
Ste B
Lake Charles, LA 70605
Phone (337) 990-8002

2400 Ryan St
Lake Charles, LA 70601
Phone (337) 433-1260

401 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 436-6100

4150 Nelson Rd
Ste G
Lake Charles, LA 70605
Phone (337) 310-0440

14350 Highway 73
Prairieville, LA 70769
Phone (225) 313-3930

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Interoperability endpoints

  • Direct secure messaging: cjacobs2114693@direct.ochsner.org

Organizations & group practices 12

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.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1801293899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-656-7940",
            "fax_number": "337-761-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4150 NELSON RD STE 1",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054148",
            "telephone_number": "337-656-7940",
            "fax_number": "337-761-4673"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10319 Jefferson Hwy",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708092730",
            "country_code": "US",
            "telephone_number": "225-214-9352",
            "fax_number": "225-214-9349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "JENNIFER",
        "middle_name": "COLLEEN FLAVIN",
        "name_prefix": "Ms.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-19",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "200769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.