Active NPI
Jessica Pack, APRN
- Family Nurse Practitioner
- Bastrop, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 235286
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 223217 | AR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr James Michael Smith Apmc | Current | Accepting new patients | |
| Morehouse Parish Hospital Service District 1 | Family | Current | 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
- 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.
-
dba MGH Physicians Clinic
- Multi-Specialty Clinic/Center
- Bastrop, LA
- NPI 1891013496
Family
-
- Primary Care Clinic/Center
- Bastrop, LA
- NPI 1508064296
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Monroe, LA
- NPI 1225031495
-
- General Acute Care Hospital
- Bastrop, LA
- NPI 1003898313
-
dba Ashley County Medical Center
- Critical Access Hospital
- Crossett, AR
- NPI 1952308215
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
- Northeast Louisiana Medical Supply, LLC
- Diamond D'Angelo O'Steen, LPC
- Leabory Odom I
- Stacey Smith Ogden, FNP-C
- One22 Craft Advisors Corporation (Miracle Minds Managed Care)
- Angela Denise Pegues
- People United of Louisiana LLC (The Carter House for Youth)
- Laquinten Peterson, NP
- Pharmacy 1920 LLC (Whit's Pharmacy)
- Lisa Allison-Graves Post, R.D./ M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; 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.