Individual provider Active NPI

Jillene Amow, FNP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1831695691
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
230298 Issued in LA
Practice address
2005 Veterans Memorial Blvd
Metairie, LA 70002-6320
Phone
(504) 836-9820
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 61009 ID
Family Nurse Practitioner 363LF0000X 230298 LA Primary

Addresses

Primary practice location

2005 Veterans Memorial Blvd
Metairie, LA 70002-6320

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Other identifiers 1

IdentifierTypeStateIssuer
6653241Other6653241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID, 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
I20190625000762 ID Practitioner - Nurse Practitioner 3971837923 Reassigns benefits to 1 organization
I20231115001409 LA Practitioner - Nurse Practitioner 3971837923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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

Practice addresses (Care Compare)

2005 Veterans Memorial Blvd
Metairie, LA 70002-6320
Phone (504) 836-9820

5921 N Market St
Spokane, WA 99208-2484
Phone (509) 487-1604

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Sep 21, 2023 Accepting new patients
Community Health Association of Spokane CurrentSince May 4, 2019 Accepting new patients
Community Health Association of Spokane CurrentSince May 4, 2019 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 21, 2023 Accepting new patients
Community Health Association of Spokane Current Accepting new patients
Ochsner Clinic LLC Current Accepting new patients

Locations

1203 Idaho St
Lewiston, ID 83501
Phone (208) 848-8300

803 S Main St
Ste 120
Moscow, ID 83843
Phone (208) 848-8300

2005 Veterans Memorial Blvd
Metairie, LA 70002
Phone (504) 836-9820

1514 Jefferson Hwy
New Orleans, LA 70121

203 N Washington St
Ste 300
Spokane, WA 99201

611 N Iron Bridge Way
Spokane, WA 99202

Interoperability endpoints

  • Direct secure messaging: jamow2016008@direct.ochsner.org
  • Direct secure messaging: jillene.amow.1@11411.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1831695691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 VETERANS MEMORIAL BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700026320",
            "telephone_number": "504-836-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMOW",
        "first_name": "JILLENE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "61009",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "230298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "6653241",
            "identifier": "6653241",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.