Individual provider Active NPI

Jeffrey P Leblanc, CRNA

  • Certified Registered Nurse Anesthetist
  • Baton Rouge, LA
National Provider Identifier
1801997804
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN081226 Issued in LA
Practice address
8946 Interline Ave
Suite C
Baton Rouge, LA 70809-1913
Phone
(225) 923-0030
NPI assigned
Sep 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN081226 LA Primary

Addresses

Primary practice location

8946 Interline Ave
Suite C
Baton Rouge, LA 70809-1913

Mailing address

PO Box 14388
Baton Rouge, LA 70898-4388
Phone (225) 923-0030

Other practice location 1

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, GA, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040621000152 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971588484 Reassigns benefits to 4 organizations
I20190826002194 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971588484 Reassigns benefits to 1 organization
I20200608003128 SC Practitioner - Certified Registered Nurse Anesthetist (Crna) 3971588484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nuedge Anesthesia LLCGroup PAC ID 7911340575, 12 clinicians
Dpi of Louisiana LLCGroup PAC ID 1456886365, 72 clinicians

Practice addresses (Care Compare)

10105 Park Rowe Cir
Baton Rouge, LA 70810-1688
Phone (225) 906-4843

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 402-1436

6300 Main St
Zachary, LA 70791-4037
Phone (225) 658-4522

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN081226LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Dpi of Georgia, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 17, 2019 Accepting new patients
Bon Secours St. Francis Xavier Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients
Hospital Service District No 1 of Iberia Parish CurrentSince Mar 1, 2004 Accepting new patients
Diversified Professionals, Inc. CurrentSince Nov 1, 2006 Accepting new patients
Hospital Service District No. 1 of Iberia Parish CurrentSince Mar 1, 2004 Accepting new patients
Nuedge Anesthesia LLC CurrentSince Jan 1, 2024 Accepting new patients
Dpi Pain Management LLC CurrentSince Apr 2, 2016 Accepting new patients
Dpi of Louisiana LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2025 Accepting new patients
Twin City Anesthesia Past Accepting new patients
Jorge J Bravo MD a Professional Corporation Past Accepting new patients
Surgical Anesthesia of Baton Rouge LLC Past Accepting new patients

Locations

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

300 Colonial Center Pkwy
Ste 100N
Roswell, GA 30076
Phone (704) 684-7609

8946 Interline Ave
Ste C
Baton Rouge, LA 70809
Phone (225) 529-1143

7310 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 236-3100

7145 Perkins Rd
Baton Rouge, LA 70808
Phone (225) 765-3111

10105 Park Rowe Cir
Baton Rouge, LA 70810
Phone (225) 763-9900

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

7777 Hennessy Blvd
Ste 301
Baton Rouge, LA 70808
Phone (225) 214-6436

7301 Hennessy Blvd
#100
Baton Rouge, LA 70808
Phone (225) 215-3443

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

6550 Main St
Ste 2600
Zachary, LA 70791
Phone (225) 570-6357

4845 Main St
#A
Zachary, LA 70791
Phone (225) 306-0100

6550 Main St
Zachary, LA 70791
Phone (225) 658-6780

6300 Main St
Zachary, LA 70791
Phone (225) 570-2618

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1801997804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14388",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708984388",
            "telephone_number": "225-923-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8946 INTERLINE AVE",
            "address_2": "SUITE C",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708091913",
            "telephone_number": "225-923-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-402-1436",
            "fax_number": "843-402-1833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "JEFFREY",
        "middle_name": "P",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "RN081226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.