Individual provider Active NPI

Jessica Pack, APRN

  • Family Nurse Practitioner
  • Bastrop, LA
National Provider Identifier
1982319067
Registry record updated Nov 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
235286 Issued in LA
Practice address
616 S Washington St
Bastrop, LA 71220-5035
Phone
(318) 283-3990
Fax
(318) 239-8990
NPI assigned
Jan 23, 2023
Last updated
Nov 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 223217 AR
Family Nurse Practitioner 363LF0000X 235286 LA Primary

Addresses

Primary practice location

616 S Washington St
Bastrop, LA 71220-5035

Mailing address

705 Ashley Road 293
Crossett, AR 71635-8619
Phone (870) 500-4982

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jessica.pack@mghospital.com Health Information Exchange (HIE)

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
I20240830000590 LA Practitioner - Nurse Practitioner 7416313697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morehouse Parish Hospital Service District 1Group PAC ID 6507990165, 7 clinicians

Practice addresses (Care Compare)

616 S Washington St
MGH Physicians Clinic
Bastrop, LA 71220-5035
Phone (318) 283-3990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223217ARMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr James Michael Smith Apmc Current Accepting new patients
Morehouse Parish Hospital Service District 1 Family CurrentSince Jul 26, 2024 Accepting new patients

Locations

323 W Walnut Ave
Bastrop, LA 71220
Phone (318) 283-3600

532 S Washington St
Bastrop, LA 71220
Phone (318) 281-5600

616 S Washington St
Bastrop, LA 71220
Phone (318) 283-2177

Interoperability endpoints

  • Direct secure messaging: jessica.pack.1@29430.direct.athenahealth.com

Organizations & group practices 2

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 3

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": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1982319067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 ASHLEY ROAD 293",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716358619",
            "telephone_number": "870-500-4982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "616 S WASHINGTON ST",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712205035",
            "telephone_number": "318-283-3990",
            "fax_number": "318-239-8990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACK",
        "first_name": "JESSICA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-23",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "223217",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "235286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jessica.pack@mghospital.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "616 S Washington St",
            "city": "Bastrop",
            "state": "LA",
            "country_code": "US",
            "postal_code": "712205035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bastrop, LA

Sources for this page

Verify at the official NPI Registry.