Active NPI
Jennifer Lee Cooley, FNP
- Family Nurse Practitioner
- Deridder, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10035
- Practice address
- 501 Bon Ami St
Deridder, LA 70634-4925 - Phone
- (337) 202-1093
- Fax
- (337) 221-1073
- NPI assigned
- Aug 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 and National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Deridder, LA
- NPI 1194435107
LA, Multi-Specialty
-
- Family Nurse Practitioner
- Deridder, LA
- NPI 1427876911
LA, Multi-Specialty
-
- Urgent Care Clinic/Center
- Lake Charles, LA
- NPI 1467715490
LA, Multi-Specialty
-
- Rural Health Clinic/Center
- Leesville, LA
- NPI 1376717959
LA, Multi-Specialty
-
- Rural Health Clinic/Center
- Breaux Bridge, LA
- NPI 1194482398
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
Hospital
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 LLC
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
- Beauregard Memorial Hospital
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190108002694 | LA | Practitioner - Nurse Practitioner | 1658617907 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantage Health Urgent Care LLC | Multi-Specialty | Current | Accepting new patients |
| Professional Pediatrics, LLC | Multi-Specialty | Current | Accepting new patients |
| Calcasieu Urgent Care LLC | Multi-Specialty | Current | Accepting new patients |
| Advantage Health Primary Care LLC | Multi-Specialty | Current | Accepting new patients |
| Calcasieu Urgent Care, LLC | Current | Accepting new patients |
Locations
906 N Pine St
Ste A
Deridder, LA 70634
Phone (337) 202-1020
501 Bon Ami St
Deridder, LA 70634
Phone (337) 202-1020
906 N Pine St
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
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10035 | LA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
501 Bon Ami St
Deridder, LA 70634-4925
Mailing address
501 Bon Ami St
Deridder, LA 70634-4925
Phone (337) 202-1093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 4, 2026.
{
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.