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JEANNA ROBERTA JEAN LOUIS NP
NPI 1174407076
Nurse Practitioner - Family in Bloomfield, NJ

Active since August 04, 2025PECOS Enrolled
220 BLOOMFIELD AVE, BLOOMFIELD, NJ 07003(973) 520-2591 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Aug 4, 2025 (2 updates tracked since 2025).

About Jeanna Roberta Jean Louis Np NPPES

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

JEANNA ROBERTA JEAN LOUIS NP (NPI 1174407076) is an individual family provider in Bloomfield, New Jersey, licensed in New Jersey (26NJ15357800) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Elizabeth, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1174407076
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJEANNA ROBERTA JEAN LOUISCredential: NP
Location Address220 BLOOMFIELD AVEBloomfield, NJ 07003
Mailing Address220 Bloomfield AveBloomfield, NJ 07003 · (973) 520-2591
Phone(973) 520-2591
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 4, 2025
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1174407076 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 NJ · 26NJ15357800
220 BLOOMFIELD AVE, Bloomfield, NJ 07003
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Secondary Practice Location 1

Location 1620 Division StElizabeth, NJ 07201-2004 · Phone (973) 877-0991

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanna Roberta Jean Louis Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618452285
PECOS Enrollment IDI20260519000056
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07003 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Jeanna Jean Louis's NPI number?

The NPI number for Jeanna Jean Louis is 1174407076. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Jeanna Jean Louis located?

Jeanna Jean Louis practices at 220 Bloomfield Ave, Bloomfield, NJ 07003. The listed phone number is (973) 520-2591.

What is Jeanna Jean Louis's specialty?

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

Is Jeanna Jean Louis enrolled in Medicare?

Yes. Jeanna Jean Louis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanna Jean Louis was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.