Individual provider Active NPI

Jean Genzale, NP

  • Adult Health Nurse Practitioner
  • Hammond, LA
National Provider Identifier
1972743243
Registry record updated Sep 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
AP05722 Issued in LA
Practice address
16070 Doctors Blvd
Hammond, LA 70403-1478
Phone
(985) 230-7350
Fax
(985) 230-7351
NPI assigned
Feb 26, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X AP05722 LA Primary

Addresses

Primary practice location

16070 Doctors Blvd
Hammond, LA 70403-1478

Mailing address

675 N Causeway Blvd
Mandeville, LA 70448-4600
Phone (985) 200-3530

Other identifiers 2

IdentifierTypeStateIssuer
1466255MedicaidLA
P00757861OtherLAMEDICARE RR

Other names 1

  • Jean Genzale-Bertrand Former name

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
I20090421000700 LA Practitioner - Nurse Practitioner 0345397766 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Oaks Medical Center LLCGroup PAC ID 2466629522, 317 clinicians

Practice addresses (Care Compare)

15813 Paul Vega MD Dr
Suite 403
Hammond, LA 70403-1426
Phone (985) 230-7350

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.91 of 100Reported as group
Quality
78.17
Promoting interoperability
100
Improvement activities
40
Cost
67.71

Merit-based Incentive Payment System (MIPS)

Final score
84.36 of 100Reported as group
Quality
74.29
Promoting interoperability
100
Improvement activities
40
Cost
68.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP05722LAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Oaks Physician Group, LLC CurrentSince Oct 1, 2012 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jun 2, 2022 Accepting new patients
North Shore Heart and Vascular, L.L.C. CurrentSince Apr 6, 2022 Accepting new patients
Hospital Service District #1 of Tangipahoa Past Accepting new patients

Locations

15813 Paul Vega Md Dr
Ste 403
Hammond, LA 70403
Phone (985) 230-7350

15813 Paul Vega Md Dr
Ste 400
Hammond, LA 70403
Phone (985) 230-1835

1902 S Morrison Blvd
Hammond, LA 70403
Phone (985) 230-5800

15813 Paul Vega Md Dr
Hammond, LA 70403

16070 Doctors Blvd
Hammond, LA 70403
Phone (985) 230-7350

15813 Paul Vega Md Dr
Ste 200
Hammond, LA 70403
Phone (985) 230-7650

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

15813 Paul Vega Md Dr
Ste 402
Hammond, LA 70403
Phone (985) 230-7350

17199 Spring Ranch Rd
Ste 210
Livingston, LA 70754
Phone (225) 686-4800

675 N Causeway Blvd
Mandeville, LA 70448
Phone (985) 200-3530

Interoperability endpoints

  • Direct secure messaging: jean.genzale.1@13800.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/13800/brand/1/csg/1/fhir/r4

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 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": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1972743243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 N CAUSEWAY BLVD",
            "city": "MANDEVILLE",
            "state": "LA",
            "postal_code": "704484600",
            "telephone_number": "985-200-3530",
            "fax_number": "985-202-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16070 DOCTORS BLVD",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704031478",
            "telephone_number": "985-230-7350",
            "fax_number": "985-230-7351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENZALE",
        "first_name": "JEAN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "LA",
            "license": "AP05722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1466255",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00757861",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "GENZALE-BERTRAND",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hammond, LA

Sources for this page

Verify at the official NPI Registry.