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JEREMY DEDEAUX FNP-C
NPI 1104233923
Nurse Practitioner - Family in Zachary, LA

Active since July 14, 2014PECOS Enrolled
2335 CHURCH ST, SUITE E, ZACHARY, LA 70791(225) 654-3607(225) 658-2262 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 6, 2022, Apr 5, 2021, Jan 26, 2020 and 1 more (4 updates tracked since 2017).

About Jeremy Dedeaux Fnp-c NPPES

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

JEREMY DEDEAUX FNP-C (NPI 1104233923) is an individual family provider in Zachary, Louisiana, licensed in Louisiana (AP07961) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Baton Rouge.

NPPES Registry Identity

NPI1104233923
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY DEDEAUXCredential: FNP-C
Location Address2335 CHURCH ST, SUITE EZachary, LA 70791-2700
Mailing Address2335 Main Street, Suite EZachary, LA 70791 · (225) 654-3607 · Fax (225) 658-2262
Phone(225) 654-3607
Fax(225) 658-2262
Sole ProprietorYes
Enumeration DateJuly 14, 2014
Last NPPES UpdateDecember 6, 20224 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
✔ NPI 1104233923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · AP07961
2335 CHURCH ST, Zachary, LA 70791
Open in Google Maps ↗

Secondary Practice Location 1

Location 15439 Airline HwyBaton Rouge, LA 70805-1712 · Phone (225) 358-4853 · Fax (225) 358-2350

Other Identifiers 1

Medicaid2381547LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeremy Dedeaux Fnp-c 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeremy Dedeaux reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Convenient Care LLC
1.5 mi
Urgent Care
18989 OLD SCENIC HWY
Zachary, LA 70791
  • Reassigned Medicare billing, Louisiana enrollment
  • 163 clinicians in this Medicare group
NPI 1205143708 (225) 654-8850
East Baton Rouge Emergency Physicians Group, LLC
2.5 mi
Emergency Medicine
6300 MAIN ST
Zachary, LA 70791
  • Reassigned Medicare billing, Louisiana enrollment
  • 51 clinicians in this Medicare group
NPI 1255894952 (225) 658-4000
C & M Medical Services, Inc.
76 mi
Emergency Medical Services
2450 SEVERN AVE STE 205
Metairie, LA 70001
  • Reassigned Medicare billing, Louisiana enrollment
  • 176 clinicians in this Medicare group
NPI 1710903059 (504) 833-7770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70791 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.

AMY B DIXON OTR
Occupational Therapist
2335 CHURCH ST, SUITE G
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
ANTHONY MARINO III PT
Physical Therapist
2335 CHURCH ST, SUITE G
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
MR. AL C MOREAU III PT
Physical Therapist
2335 CHURCH ST, STE G
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
KYRA LEE MOSS LOTR
Occupational Therapist
2335 CHURCH ST, STE G
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
THOMAS JEFFREY GOULD M.D.
Family Medicine
2335 CHURCH ST, SUITE E
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-3607
MR. RYAN C BOZANT PT
Physical Therapist
2335 CHURCH ST, SUITE G
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-8208
MRS. KATHERINE V STERLING RN
Nurse Practitioner (Family)
2335 CHURCH ST
ZACHARY, LA 70791
East Baton Rouge Parish (252) 654-3607
MICHAEL KEMP AMACKER MD
Family Medicine
2335 CHURCH ST, STE E
ZACHARY, LA 70791
East Baton Rouge Parish (225) 654-3607

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 Jeremy Dedeaux's NPI number?

The NPI number for Jeremy Dedeaux is 1104233923. It was assigned to this individual provider in the NPPES registry on July 14, 2014.

Where is Jeremy Dedeaux located?

Jeremy Dedeaux practices at 2335 Church St Suite E, Zachary, LA 70791. The listed phone number is (225) 654-3607.

What is Jeremy Dedeaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeremy Dedeaux enrolled in Medicare?

Yes. Jeremy Dedeaux is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jeremy Dedeaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Dedeaux reassigns Medicare benefits to 3 organizations: Convenient Care LLC (Zachary, LA), East Baton Rouge Emergency Physicians Group, LLC (Zachary, LA) and C & M Medical Services, Inc. (Metairie, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Dedeaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jeremy Dedeaux was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.