MRS. JENNIFER HALEY WADDLE WHCNP
NPI 1366656787
Nurse Practitioner - Women's Health in Shreveport, LA

Active since May 09, 2007PECOS EnrolledAccepts Medicare Assignment
2508 BERT KOUN LOOP, SUITE 201, SHREVEPORT, LA 71118(318) 212-5790(318) 212-5795 Get Directions Write a Review

NPPES record last updated: April 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 24, 2016, Dec 10, 2015 (2 updates tracked since 2015).

About Mrs. Jennifer Haley Waddle Whcnp NPPES

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

MRS. JENNIFER HALEY WADDLE WHCNP (NPI 1366656787) is an individual women's health provider in Shreveport, Louisiana, licensed in Louisiana (AP04789) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Willis Knighton Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1366656787
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMRS. JENNIFER HALEY WADDLECredential: WHCNP
Location Address2508 BERT KOUN LOOP, SUITE 201Shreveport, LA 71118-3133
Mailing Address2508 Bert Koun Loop, Suite 201Shreveport, LA 71118-3133 · (318) 212-5790 · Fax (318) 212-5795
Fax(318) 212-5795
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateMay 9, 2007
Last NPPES UpdateApril 13, 20162 updates tracked since enumeration
NPI 1366656787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in LA · AP04789
2508 BERT KOUN LOOP, Shreveport, LA 71118

Other Identifiers 2

OtherAP04789LA · Aprn
OtherRN098243LA · License---nursing

Accepted Insurance

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

Mrs. Jennifer Haley Waddle Whcnp 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 ID5092846626
PECOS Enrollment IDI20160106002602
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71118 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 3

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

Internal Medicine (Gastroenterology)
2508 BERT KOUN LOOP, SUTIE 304
SHREVEPORT, LA 71118
Obstetrics & Gynecology
2508 BERT KOUN LOOP, SUITE 201
SHREVEPORT, LA 71118
Pediatrics (Pediatric Gastroenterology)
2508 BERT KOUN LOOP, SUITE 101
SHREVEPORT, LA 71118

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 Waddle's NPI number?

The NPI number for Jennifer Waddle is 1366656787. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Jennifer Waddle located?

Jennifer Waddle practices at 2508 Bert Koun Loop Suite 201, Shreveport, LA 71118. The listed phone number is (318) 212-5790.

What is Jennifer Waddle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Jennifer Waddle enrolled in Medicare?

Yes. Jennifer Waddle 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.

What insurance does Jennifer Waddle accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jennifer Waddle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Waddle affiliated with any hospitals?

According to CMS data, Jennifer Waddle is affiliated with Willis Knighton Medical Center.

When was this NPI record last updated?

The NPPES record for Jennifer Waddle was last updated on April 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.