TUNYA S. JACK
NPI 1508324047
Nurse Practitioner - Psychiatric/Mental Health in Baton Rouge, LA

Active since March 04, 2019PECOS Enrolled
1241 SHADYBROOK DR, BATON ROUGE, LA 70816(225) 485-1797 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 11, 2024, Nov 17, 2023, Mar 4, 2019 (3 updates tracked since 2019).

About Tunya S. Jack NPPES

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

TUNYA S. JACK (NPI 1508324047) is an individual psychiatric/mental health provider in Baton Rouge, Louisiana, licensed in Texas (1077321) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508324047
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTUNYA S. JACK
Location Address1241 SHADYBROOK DRBaton Rouge, LA 70816-1273
Mailing Address1241 Shadybrook DrBaton Rouge, LA 70816-1273 · (225) 485-1797
Sole ProprietorNo
Enumeration DateMarch 4, 2019
Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration
NPPES CertifiedDecember 11, 2024
✔ NPI 1508324047 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 1077321
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 204007 (LA)
1241 SHADYBROOK DR, Baton Rouge, LA 70816

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tunya S. Jack is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Tunya Jack reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Louisiana enrollment
  • 439 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Colorado enrollment
  • 290 clinicians in this Medicare group
Professional
5900 BALCONES DR
Austin, TX 78731
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
941 mi
Family Medicine
500 KIRTS BLVD, SUITE 200
Troy, MI 48084
  • Reassigned Medicare billing, Louisiana enrollment
  • 42 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70816 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

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

Nurse Practitioner (Psychiatric/Mental Health)
1241 SHADYBROOK DR
BATON ROUGE, LA 70816

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 Tunya Jack's NPI number?

The NPI number for Tunya Jack is 1508324047. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Tunya Jack located?

Tunya Jack practices at 1241 Shadybrook Dr, Baton Rouge, LA 70816. The listed phone number is (225) 485-1797.

What is Tunya Jack's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tunya Jack enrolled in Medicare?

Yes. Tunya Jack is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tunya Jack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tunya Jack reassigns Medicare benefits to 4 organizations: Signify Health, LLC (Dallas, TX), Signify Health Medical Associates, PLLC (Dallas, TX), Healing Paths Online Counseling Services (Austin, TX) and Vpa PC (Troy, MI). Each 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 Tunya Jack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tunya Jack accept?

Health plans from UnitedHealthcare list Tunya Jack 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.

When was this NPI record last updated?

The NPPES record for Tunya Jack was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.