Individual provider Active NPI

Jaclyn Biondini Green, FNP-C

  • Family Nurse Practitioner
  • West Monroe, LA
National Provider Identifier
1912637034
Registry record updated Nov 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225863 Issued in LA
Practice address
503 McMillan Rd
West Monroe, LA 71291-5327
Phone
(318) 329-4462
Fax
(318) 329-4467
NPI assigned
Jun 13, 2022
Last updated
Nov 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225863 LA Primary

Addresses

Primary practice location

503 McMillan Rd
West Monroe, LA 71291-5327

Mailing address

503 McMillan Rd
West Monroe, LA 71291-5327
Phone (318) 329-4462

Other practice location 1

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

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
I20241223001965 LA Practitioner - Nurse Practitioner 4284161704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Medical Group LLCGroup PAC ID 5092970624, 176 clinicians

Practice addresses (Care Compare)

309 Jackson St
Monroe, LA 71201-7407
Phone (318) 966-4541

312 Grammont St
Monroe, LA 71201-7403

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225863LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Medical Group LLC CurrentSince Dec 2, 2024 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients

Locations

5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

517 Catalpa St
Monroe, LA 71201
Phone (318) 966-6500

Organizations & group practices 2

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 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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1912637034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915327",
            "telephone_number": "318-329-4462",
            "fax_number": "318-329-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 MCMILLAN RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712915327",
            "telephone_number": "318-329-4462",
            "fax_number": "318-329-4467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "309 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712017407",
            "country_code": "US",
            "telephone_number": "318-966-4541",
            "fax_number": "318-966-4543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREEN",
        "first_name": "JACLYN",
        "middle_name": "BIONDINI",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "225863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.