Individual provider Active NPI

Jenna Surmik Clouatre, FNP-C

  • Family Nurse Practitioner
  • Kenner, LA
National Provider Identifier
1992232045
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09295 Issued in LA
Practice address
200 W Esplanade Ave
Kenner, LA 70065-2489
Phone
(504) 443-9500
NPI assigned
May 19, 2017
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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ochsner Clinic LLC 2,845 clinicians

Practice addresses (Care Compare)

200 W Esplanade Ave
Ochsner Clinic Kenner Mob
Kenner, LA 70065-2489
Phone (504) 842-4000

Hospital & facility affiliations

  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036
  • St Charles Parish Hospital Hospital, Luling, LA, CCN 190079
  • Ochsner Medical Center-Kenner Hospital, Kenner, LA, CCN 190274

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.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20170616001975 LA Practitioner - Nurse Practitioner 0042588907 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Apr 19, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Apr 19, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Southern Kidney Specialists - Gretna LLC PastSince Feb 9, 2020 Accepting new patients

Locations

13100 River Rd
Destrehan, LA 70047
Phone (504) 701-3652

200 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-2940

1057 Paul Maillard Rd
Luling, LA 70070
Phone (985) 785-3655

1057 Paul Maillard Rd
Ste 210
Luling, LA 70070
Phone (504) 722-9086

1514 Jefferson Hwy
New Orleans, LA 70121

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP09295 LA Primary

Addresses

NPPES NPI Registry

Primary practice location

200 W Esplanade Ave
Kenner, LA 70065-2489

Mailing address

280 Dunleith Dr
Destrehan, LA 70047-2120
Phone (504) 258-1147

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2022.

{
    "created_epoch": "1495152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1992232045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 DUNLEITH DR",
            "city": "DESTREHAN",
            "state": "LA",
            "postal_code": "700472120",
            "telephone_number": "504-258-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-443-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUATRE",
        "first_name": "JENNA",
        "middle_name": "SURMIK",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-19",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.