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DR. JACQUELYN KIBODEAUX WHITE M.D.
NPI 1629186812
Emergency Medicine in Ruston, LA

Active since August 28, 2006PECOS Enrolled
4001 RIDGEMONT ST, RUSTON, LA 71270(318) 251-8838 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Dec 7, 2017 (2 updates tracked since 2017).

About Dr. Jacquelyn Kibodeaux White M.d. NPPES

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

DR. JACQUELYN KIBODEAUX WHITE M.D. (NPI 1629186812) is an individual emergency medicine provider in Ruston, Louisiana, licensed in Louisiana (021607) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Reeves Memorial Medical Center, and is a graduate of Louisiana State University School Of Medicine In Shreveport (1988).

NPPES Registry Identity

NPI1629186812
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. JACQUELYN KIBODEAUX WHITECredential: M.D.
Location Address4001 RIDGEMONT STRuston, LA 71270-9596
Mailing Address4001 Ridgemont StRuston, LA 71270-9596 · (318) 251-8838
Phone(318) 251-8838
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In ShreveportGraduated 1988
Enumeration DateAugust 28, 2006
Last NPPES UpdateMay 8, 20252 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
✔ NPI 1629186812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in LA · 021607
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License LA201607 (LA)
4001 RIDGEMONT ST, Ruston, LA 71270
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Other Identifiers 1

Medicaid1121991LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacquelyn Kibodeaux White M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991805889
PECOS Enrollment IDI20070706000203
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.

Reeves Memorial Medical Center

Critical Access Hospitals · Bernice, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191326
Location409 First StreetBernice, LA 71222 · Union County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71270 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.

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 Jacquelyn White's NPI number?

The NPI number for Jacquelyn White is 1629186812. It was assigned to this individual provider in the NPPES registry on August 28, 2006.

Where is Jacquelyn White located?

Jacquelyn White practices at 4001 Ridgemont St, Ruston, LA 71270. The listed phone number is (318) 251-8838.

What is Jacquelyn White's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jacquelyn White enrolled in Medicare?

Yes. Jacquelyn White is registered in the Medicare PECOS enrollment system.

What insurance does Jacquelyn White accept?

Health plans from HMO Louisiana list Jacquelyn White 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 Jacquelyn White affiliated with any hospitals?

According to CMS data, Jacquelyn White is affiliated with Reeves Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Jacquelyn White was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.