Individual provider Active NPI

Lakaisha Jene Jackson, DNP, APRN, AGACNP

  • Acute Care Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1841176419
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
242785 Issued in LA
Practice address
500 Rue de la Vie St
Baton Rouge, LA 70817-5127
Phone
(225) 910-0714
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 242785 LA Primary

Addresses

Primary practice location

500 Rue de la Vie St
Baton Rouge, LA 70817-5127

Mailing address

39190 West LN
Prairieville, LA 70769-4735

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
I20260106000855 LA Practitioner - Nurse Practitioner 6709372147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woman's Surgical Specialty GroupGroup PAC ID 9537346382, 13 clinicians

Practice addresses (Care Compare)

500 Rue de la Vie St
Suite 402
Baton Rouge, LA 70817-5129
Phone (225) 215-7588

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
242785LAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woman's Surgical Specialty Group CurrentSince Oct 16, 2025 Accepting new patients

Locations

500 Rue de la Vie St
Ste 305
Baton Rouge, LA 70817
Phone (225) 216-1118

500 Rue de la Vie St
Ste 402
Baton Rouge, LA 70817
Phone (225) 215-7588

500 Rue de la Vie St
Baton Rouge, LA 70817
Phone (225) 215-7432

Organizations & group practices 1

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": "1754870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1841176419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39190 WEST LN",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707694735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175127",
            "telephone_number": "225-910-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "LAKAISHA",
        "middle_name": "JENE",
        "credential": "DNP, APRN, AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-11",
        "last_updated": "2025-08-11",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "LA",
            "license": "242785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.