Individual provider Active NPI

Jennifer Lee Cooley, FNP

  • Family Nurse Practitioner
  • Deridder, LA
National Provider Identifier
1982185799
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10035 Issued in LA
Practice address
501 Bon Ami St
Deridder, LA 70634-4925
Phone
(337) 202-1093
Fax
(337) 221-1073
NPI assigned
Aug 29, 2018
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X AP10035 LA Primary

Addresses

Primary practice location

501 Bon Ami St
Deridder, LA 70634-4925

Mailing address

501 Bon Ami St
Deridder, LA 70634-4925
Phone (337) 202-1093

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
I20190108002694 LA Practitioner - Nurse Practitioner 1658617907 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantage Health Urgent Care LLCGroup PAC ID 6608246053, 3 clinicians

Practice addresses (Care Compare)

501 Bon Ami St
Deridder, LA 70634-4925
Phone (337) 202-1020

906 N Pine St
Deridder, LA 70634-2816

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP10035LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantage Health Urgent Care LLC Multi-Specialty CurrentSince Jun 15, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Nov 1, 2018 Accepting new patients
Professional Pediatrics, LLC Multi-Specialty CurrentSince Nov 1, 2019 Accepting new patients
Advantage Health Primary Care LLC Multi-Specialty CurrentSince Jun 15, 2025 Accepting new patients
Calcasieu Urgent Care LLC Multi-Specialty CurrentSince Nov 1, 2018 Accepting new patients

Locations

501 Bon Ami St
Deridder, LA 70634
Phone (337) 462-1315

906 N Pine St
Deridder, LA 70634
Phone (337) 202-1020

906 N Pine St
Ste A
Deridder, LA 70634
Phone (337) 202-1020

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

2900 Gerstner Memorial Dr
Lake Charles, LA 70601
Phone (337) 485-4185

919 S 10th St
Leesville, LA 71446
Phone (337) 239-2207

Organizations & group practices 5

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.

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1982185799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BON AMI ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344925",
            "telephone_number": "337-202-1093",
            "fax_number": "337-221-1073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BON AMI ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344925",
            "telephone_number": "337-202-1093",
            "fax_number": "337-221-1073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "JENNIFER",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP10035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.