JENNIFER LARUE AGACNP-BC
NPI 1164379699
Nurse Practitioner - Acute Care in Longview, TX
About Jennifer Larue Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER LARUE AGACNP-BC (NPI 1164379699) is an individual acute care provider in Longview, Texas, licensed in Texas (1229284) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with Christus Good Shepherd Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Larue Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Good Shepherd Medical Center
Acute Care Hospitals · Longview, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Jennifer Larue's NPI number?
The NPI number for Jennifer Larue is 1164379699. It was assigned to this individual provider in the NPPES registry on March 13, 2026.
Where is Jennifer Larue located?
Jennifer Larue practices at 323 E Hawkins Pkwy # A-1, Longview, TX 75605. The listed phone number is (903) 544-6888.
What is Jennifer Larue's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Jennifer Larue enrolled in Medicare?
Yes. Jennifer Larue is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Jennifer Larue affiliated with any hospitals?
According to CMS data, Jennifer Larue is affiliated with Christus Good Shepherd Medical Center.
When was this NPI record last updated?
The NPPES record for Jennifer Larue was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 days 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.
# Jennifer Larue, AGACNP-BC · NPI 1164379699
Acute Care physician in Longview, Texas. Individual provider, active in the CMS NPPES registry since March 13, 2026.
## Identity
- **NPI:** 1164379699 (Entity type: Individual)
- **Enumerated:** March 13, 2026
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 1229284 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 323 E HAWKINS PKWY # A-1, Longview, TX 75605-8153
- **Phone:** (903) 544-6888
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** September 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1164379699) · Data from the CMS NPPES public registry.