Individual provider Active NPI

Jenny Mora Graffato, APRN

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1932770880
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP220980 Issued in LA
Practice address
3616 S I 10 Service Rd W Ste 100
Metairie, LA 70001-1884
Phone
(504) 838-5257
NPI assigned
Jul 1, 2021
Last updated
Jul 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP220980 LA Primary
Family Medicine Physician 207Q00000X 220980 LA

Addresses

Primary practice location

3616 S I 10 Service Rd W Ste 100
Metairie, LA 70001-1884

Mailing address

3100 Williams Blvd
Kenner, LA 70065-4505
Phone (504) 443-1744

Other practice location 1

3100 Williams Blvd
Kenner, LA 70065-4505
Phone (239) 425-7895

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL Metairie Direct

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
I20220726001624 LA Practitioner - Nurse Practitioner 4183005978 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JeffcareGroup PAC ID 7911125513, 21 clinicians

Practice addresses (Care Compare)

3616 S I 10 Service Rd
Metairie, LA 70001-1874

3616 S I 10 Service Rd W
Suite 100
Metairie, LA 70001-1884
Phone (504) 838-5215

3616 S I 10 Service Rd W
Suite 200
Metairie, LA 70001-1874

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP220980LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffcare CurrentSince Jul 13, 2022 Accepting new patients
Jeffcare Multi-Specialty CurrentSince Jul 13, 2022 Accepting new patients
Signify Health, LLC Multi-Specialty CurrentSince Jul 15, 2022 Accepting new patients
Mendoza Medical Clinic PastSince Jul 1, 2021 Accepting new patients

Locations

5001 Westbank Expy
Ste 100
Marrero, LA 70072
Phone (504) 349-8801

3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

201 Saint Charles Ave
Ste 2500
New Orleans, LA 70170
Phone (504) 582-1416

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1932770880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 WILLIAMS BLVD",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700654505",
            "telephone_number": "504-443-1744",
            "fax_number": "504-443-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 S I 10 SERVICE RD W STE 100",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011884",
            "telephone_number": "504-838-5257"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Williams Blvd",
            "address_purpose": "LOCATION",
            "city": "Kenner",
            "state": "LA",
            "postal_code": "700654505",
            "country_code": "US",
            "telephone_number": "239-425-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAFFATO",
        "first_name": "JENNY",
        "middle_name": "MORA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP220980",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "220980",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Metairie",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3100 Williams Blvd",
            "city": "Kenner",
            "state": "LA",
            "country_code": "US",
            "postal_code": "700654505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.