Jashua Bower, NP

Individual provider Active NPI Nurse Practitioner · Leesville, LA

NPI 1972034155 · NPPES record last updated Oct 10, 2018

Key facts

NPI
1972034155
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
AP09139 (LA)
Practice address
1020 W Fertitta Blvd
Leesville, LA 71446-4645
Phone
(337) 239-9041
Fax
(337) 239-5270
NPI assigned
Mar 21, 2017
Sex
Male
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Webster Emergency Group LLC (16 clinicians)
WK Urgent Care Center-Pierremont (39 clinicians)

Practice addresses (Care Compare)

1 Medical Plaza PL
Minden, LA 71055-3330
Phone (318) 377-2321

1666 E Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71105-5718
Phone (318) 212-3520

Merit-based Incentive Payment System (MIPS)

Final score
87.16 of 100 (group)
Quality
74.02
Improvement activities
40
Cost
78.41

Medicare participation

Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170519000105 LA Practitioner - Nurse Practitioner 5698042851 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kisatchie Emergency Group, LLC Nurse Practitioner Current
since Mar 20, 2019
Accepting new patients
WK Urgent Care Center-Pierremont Current
since Oct 1, 2018
Accepting new patients
Ed Physicians of West Louisiana, LLC Nurse Practitioner Current
since Apr 30, 2017
Accepting new patients
Webster Emergency Group LLC Nurse Practitioner Current
since Oct 3, 2023
Accepting new patients
GPN-Leesville, LLC Past Accepting new patients
WK Urgent Care Center - Bossier Past Accepting new patients

Locations

1001 Lackland Blvd
Ste 110
Benton, LA 71006
Phone (318) 935-1500

2300 Hospital Dr
Ste 180
Bossier City, LA 71111
Phone (318) 212-7520

5751 Shed Rd
Ste 100
Bossier City, LA 71111
Phone (318) 935-1900

1020 W Fertitta Blvd
Leesville, LA 71446
Phone (337) 239-5278

1 Medical Plaza Pl
Minden, LA 71055
Phone (318) 371-4042

2520 Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71118
Phone (318) 212-5520

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

5621 N Market St
Ste 100
Shreveport, LA 71107
Phone (318) 935-1700

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP09139 LA Yes

Addresses

Primary practice location

1020 W Fertitta Blvd
Leesville, LA 71446-4645

Mailing address

1202 Louisiana Ave
Shreveport, LA 71101-3910
Phone (318) 212-8951

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 10, 2018.

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1972034155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 LOUISIANA AVE",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711013910",
            "telephone_number": "318-212-8951",
            "fax_number": "318-212-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W FERTITTA BLVD",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464645",
            "telephone_number": "337-239-9041",
            "fax_number": "337-239-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWER",
        "first_name": "JASHUA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-21",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "LA",
            "license": "AP09139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

All providers in Leesville, LA · Nurse Practitioner in Louisiana

Sources for this page

Verify at the official NPI Registry.