JESSICA PRUETT NP
NPI 1295534667
Nurse Practitioner - Family in Bossier City, LA

Active since March 10, 2025PECOS EnrolledAccepts Medicare Assignment
2539 VIKING DR STE 101, BOSSIER CITY, LA 71111(318) 747-8100(318) 747-8150 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jessica Pruett Np NPPES

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

JESSICA PRUETT NP (NPI 1295534667) is an individual family provider in Bossier City, Louisiana, licensed in Louisiana (239904) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1295534667
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA PRUETTCredential: NP
Location Address2539 VIKING DR STE 101Bossier City, LA 71111-2165
Mailing Address2539 Viking Dr Ste 101Bossier City, LA 71111-2165 · (318) 747-8100 · Fax (318) 747-8150
Fax(318) 747-8150
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 10, 2025
NPI 1295534667 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 · 239904
2539 VIKING DR STE 101, Bossier City, LA 71111

Secondary Practice Locations 5

Location 15390 Barksdale Blvd Ste 100Bossier City, LA 71112-4526 · Phone (318) 747-8105 · Fax (318) 747-8150
Location 2160 Stone Creek Rd Ste BStonewall, LA 71078-4906 · Phone (318) 925-3338 · Fax (318) 747-8150
Location 35390 Barksdale Blvd Ste 200Bossier City, LA 71112-4526 · Phone (318) 747-8100 · Fax (318) 747-8150
Location 42539 Viking Dr Ste 100Bossier City, LA 71111-1611 · Phone (318) 747-8105 · Fax (318) 747-8150
Location 5160 Stone Creek Rd Ste AStonewall, LA 71078-4906 · Phone (318) 925-3339 · Fax (318) 747-8150

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

Jessica Pruett Np 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.

PECOS PAC ID6901320019
PECOS Enrollment IDI20250410001915
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 71111 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 8

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

Family Medicine
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
Nurse Practitioner (Family)
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
Family Medicine
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
Family Medicine
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
Family Medicine
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
Physician Assistant
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
Nurse Practitioner (Family)
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111
General Practice
2539 VIKING DR STE 101
BOSSIER CITY, LA 71111

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 Jessica Pruett's NPI number?

The NPI number for Jessica Pruett is 1295534667. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Jessica Pruett located?

Jessica Pruett practices at 2539 Viking Dr Ste 101, Bossier City, LA 71111. The listed phone number is (318) 747-8100.

What is Jessica Pruett's specialty?

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

Is Jessica Pruett enrolled in Medicare?

Yes. Jessica Pruett 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.

When was this NPI record last updated?

The NPPES record for Jessica Pruett was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.