Individual provider Active NPI

Jessica Nichole Vanderbrook, NP

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1962908616
Registry record updated Apr 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09671 Issued in LA
Practice address
3434 Houma Blvd Ste 301
Metairie, LA 70006-4201
Phone
(504) 267-1185
Fax
(504) 324-2078
NPI assigned
Apr 2, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2018

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 AP09671 LA Primary

Addresses

Primary practice location

3434 Houma Blvd Ste 301
Metairie, LA 70006-4201

Mailing address

3434 Houma Blvd Ste 301
Metairie, LA 70006-4201
Phone (504) 267-1185

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
I20180423000162 LA Practitioner - Nurse Practitioner 1759644917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Medical Center Management CorporationGroup PAC ID 7012150311, 91 clinicians

Practice addresses (Care Compare)

2000 Canal St
New Orleans, LA 70112-3018
Phone (504) 702-3000

Hospital & facility affiliations

  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
68.02
Improvement activities
40
Cost
76.01

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as group
Quality
88.07
Improvement activities
40
Cost
74.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09671LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Orleans Physician Services Inc CurrentSince Jan 25, 2021 Accepting new patients
University Medical Center Management Corporation CurrentSince Dec 1, 2023 Accepting new patients
University Medical Center Management Corporation Family CurrentSince Dec 1, 2023 Accepting new patients

Locations

1111 Medical Center Blvd
Marrero, LA 70072
Phone (504) 349-2332

1111 Medical Center Blvd
Ste S640
Marrero, LA 70072
Phone (504) 349-2150

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

1111 Medical Center Blvd
Ste S650
Marrero, LA 70072
Phone (504) 349-6504

1111 Medical Center Blvd
Ste N703
Marrero, LA 70072
Phone (504) 349-4901

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

3434 Houma Blvd
Ste 301
Metairie, LA 70006
Phone (504) 309-6500

5620 Read Blvd
Ste 200
New Orleans, LA 70127
Phone (504) 592-6437

2000 Canal St
New Orleans, LA 70112
Phone (504) 702-2287

Organizations & group practices 3

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522627200000",
    "number": "1962908616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064201",
            "telephone_number": "504-267-1185",
            "fax_number": "504-324-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 HOUMA BLVD STE 301",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700064201",
            "telephone_number": "504-267-1185",
            "fax_number": "504-324-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDERBROOK",
        "first_name": "JESSICA",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2018-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.