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JESSICA ANN KING AGACNP-BC
NPI 1629454160
Nurse Practitioner - Acute Care in Shreveport, LA

Active since August 06, 2015PECOS EnrolledAccepts Medicare Assignment
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, SHREVEPORT, LA 71105(318) 212-3858(318) 212-3958 Get Directions Write a Review

NPPES record last updated: June 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2026, Feb 11, 2025, Oct 22, 2018 and 6 more (9 updates tracked since 2016).

About Jessica Ann King Agacnp-bc NPPES

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

JESSICA ANN KING AGACNP-BC (NPI 1629454160) is an individual acute care provider in Shreveport, Louisiana, licensed in Louisiana (AP08445) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Tyler, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629454160
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameJESSICA ANN KINGCredential: AGACNP-BC
Location Address1811 E BERT KOUNS INDUSTRIAL LOOP STE 210Shreveport, LA 71105-5740
Mailing Address1811 E Bert Kouns Industrial Loop Ste 210Shreveport, LA 71105-5740 · (318) 212-3858 · Fax (318) 212-3958
Phone(318) 212-3858
Fax(318) 212-3958
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 6, 2015
Last NPPES UpdateJune 5, 20269 updates tracked since enumeration
NPPES CertifiedJune 5, 2026
✔ NPI 1629454160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses✔ Licensed in LA · AP08445✔ Licensed in TX · AP130723
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210, Shreveport, LA 71105
Open in Google Maps ↗

Other Names 1

Former Name (1)Jessica King Tidwell

Secondary Practice Location 1

Location 1703 S Fleishel Ave, STE 5000Tyler, TX 75701-2015 · Phone (903) 606-2830

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, UnitedHealthcare.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

Jessica Ann King Agacnp-bc 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 ID6901113471
PECOS Enrollment IDI20150916000085
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 71105 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 12

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

DAKOTA SHAYNE BARLOW PA
Physician Assistant
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
DUSTIN ROSS CARLISLE NP-C
Nurse Practitioner (Family)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
JENNA NICOLE BLUNDELL FNP
Nurse Practitioner
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
DR. JOSEPH L. FREDI MD
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
DR. CHRISTIAN SAZ SHIVA ABRAHIM MD
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
DR. PAUL R STAFFORD MD
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
MRS. NICOLETTE DENEE SHAFTO PA
Physician Assistant (Medical)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858
DR. IQBAL SINGH MD
Internal Medicine (Cardiovascular Disease)
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105
Caddo Parish (318) 212-3858

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 King's NPI number?

The NPI number for Jessica King is 1629454160. It was assigned to this individual provider in the NPPES registry on August 6, 2015. The provider is also known as Jessica King Tidwell.

Where is Jessica King located?

Jessica King practices at 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105. The listed phone number is (318) 212-3858.

What is Jessica King's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Jessica King enrolled in Medicare?

Yes. Jessica King 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 Jessica King accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Jessica King 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 Jessica King was last updated on June 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.