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JADE PARK
NPI 1053988741
Family Medicine in Alexandria, LA

Active since June 09, 2021PECOS Enrolled
301 4TH ST, ALEXANDRIA, LA 71301(318) 441-1041 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 12, 2024, Jun 9, 2021 (2 updates tracked since 2021).

About Jade Park NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADE PARK (NPI 1053988741) is an individual family medicine provider in Alexandria, Louisiana, licensed in Indiana (01093877A) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053988741
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJADE PARK
Location Address301 4TH STAlexandria, LA 71301-8411
Mailing Address301 4th StAlexandria, LA 71301-8411
Phone(318) 441-1041
Sole ProprietorYes
Enumeration DateJune 9, 2021
Last NPPES UpdateSeptember 12, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
✔ NPI 1053988741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01093877A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
301 4TH ST, Alexandria, LA 71301
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jade Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEARTWISE OF ALEXANDRIA LLC
Family Medicine
301 4TH ST, SUITE A
ALEXANDRIA, LA 71301
Rapides Parish (318) 709-9051
DR. JOSEPH DRAKE HOLLIER MD
Internal Medicine (Gastroenterology)
301 4TH ST, STE 1-A
ALEXANDRIA, LA 71301
Rapides Parish (318) 473-8188
DR. JEFFREY NELSON JAMES MD, DDS, FACS
Dentist (Oral and Maxillofacial Surgery)
301 4TH ST
ALEXANDRIA, LA 71301
Rapides Parish (318) 445-8606
ALEXANDRIA GASTROENTEROLOGY ASSOCIATES INC
Internal Medicine (Gastroenterology)
301 4TH ST, SUITE 1-A
ALEXANDRIA, LA 71301
Rapides Parish (318) 473-8188
JAMES M. MEEK M.D.
Urology
301 4TH ST, SUITE 4A
ALEXANDRIA, LA 71301
Rapides Parish (318) 473-2169
SAAD HANAN MD
Internal Medicine
301 4TH ST
ALEXANDRIA, LA 71301
Rapides Parish (318) 441-1041
MRS. LOU H PARKER FNP
Nurse Practitioner (Family)
301 4TH ST, BOX 30124
ALEXANDRIA, LA 71301
Rapides Parish (318) 445-9823
DR. MICHAEL DEAN MANUEL M.D.
Pediatrics
301 4TH ST, MEDICAL TERRACE
ALEXANDRIA, LA 71301
Rapides Parish (318) 473-4632

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jade Park's NPI number?

The NPI number for Jade Park is 1053988741. It was assigned to this individual provider in the NPPES registry on June 9, 2021.

Where is Jade Park located?

Jade Park practices at 301 4th St, Alexandria, LA 71301. The listed phone number is (318) 441-1041.

What is Jade Park's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jade Park enrolled in Medicare?

Yes. Jade Park is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jade Park was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.