Jennifer L Perry, NP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Coushatta, LA
NPI 1982177556 · NPPES record last updated Jun 11, 2020
Key facts
- NPI
- 1982177556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 200840 (LA)
- Practice address
- 1635 Marvel St
Coushatta, LA 71019-9022 - Phone
- (318) 932-2081
- Fax
- (318) 932-2215
- NPI assigned
- Jan 7, 2019
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 12
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Christus Health Central Louisiana
Central la State Hospital
Practice addresses (Care Compare)
1633 Marvel St
Coushatta, LA 71019-9022
Phone (318) 932-2081
1635 Marvel St
Coushatta, LA 71019-9022
6250 Esler Field Rd
Pineville, LA 71360
Phone (318) 484-6200
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190618000909 | LA | Practitioner - Nurse Practitioner | 1951634328 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200840 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central la State Hospital | Current |
Accepting new patients | |
| Christus Health Central Louisiana | Single Specialty | Current |
Accepting new patients |
| Central la State Hospital | Single Specialty | Current |
Accepting new patients |
Locations
1633 Marvel St
Coushatta, LA 71019
Phone (318) 932-2081
1635 Marvel St
Coushatta, LA 71019
Phone (318) 932-2000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | 200840 | LA | Yes |
Addresses
Primary practice location
1635 Marvel St
Coushatta, LA 71019-9022
Mailing address
5909 Patsy Dell Dr
Alexandria, LA 71303-7027
Phone (318) 229-6164
Other providers in Coushatta, LA
- Regina Roe McPhearson
- Medcore Specialty Pharmacy
- Misti Lelong Morgan
- Deborah Nichols
- Perkins Reeves Surgical Consultants, LLC
- Red River Association for Retarded Citizens Inc
- Red River Association for Retarded Citizens Inc
- Red River Association for Retarded Citizens Inc
- Red River Council on Aging, Inc.
- Red River Council on Aging, Inc.
All providers in Coushatta, LA · Psychiatric/Mental Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.