NP MOM LLC
NPI 1467283184
Nurse Practitioner in Lafayette, LA

Q: What is Np Mom LLC's NPI number?

The NPI number for Np Mom LLC is 1467283184. It was assigned to this organization in the NPPES registry on August 13, 2024.

Q: What is Np Mom LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Np Mom LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 13, 2024

1921 KALISTE SALOOM RD STE 117, LAFAYETTE, LA 70508(337) 210-5827(844) 482-4077 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

On this page

About Np Mom Llc NPPES

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

NP MOM LLC (NPI 1467283184) is a healthcare organization registered as a nurse practitioner in Lafayette, Louisiana and active in the NPI registry since August 2024. The organization lists Kelly Ducharme Jacobs, Owner, as its authorized official.

NPPES Registry Identity

NPI1467283184

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameNP MOM LLC

Location Address1921 KALISTE SALOOM RD STE 117Lafayette, LA 70508-6183

Mailing Address1921 Kaliste Saloom Rd Ste 117Lafayette, LA 70508-6183 · (337) 210-5827 · Fax (844) 482-4077

Phone(337) 210-5827

Fax(844) 482-4077

Organization SubpartNo

Authorized OfficialKelly Ducharme JacobsOwner · (337) 210-5827

Enumeration DateAugust 13, 2024

NPPES CertifiedAugust 13, 2024

✔ NPI 1467283184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1921 KALISTE SALOOM RD STE 117, Lafayette, LA 70508

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Np Mom Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Np Mom LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kelly Jacobs, FNP

Nurse Practitioner

NPI 1447092630

1921 KALISTE SALOOM RD STE 117
Lafayette, LA 70508

(337) 210-5827

✔ PECOS✔ Accepts MedicareSame address

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

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 Np Mom LLC's NPI number?

The NPI number for Np Mom LLC is 1467283184. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Np Mom LLC located?

Np Mom LLC is located at 1921 Kaliste Saloom Rd Ste 117, Lafayette, LA 70508. The listed phone number is (337) 210-5827.

What is Np Mom LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Np Mom LLC enrolled in Medicare?

Yes. Np Mom LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Np Mom LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Np Mom LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Np Mom LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.