JACOB ARDOIN
NPI 1629712153
Student in an Organized Health Care Education/Training Program in Shreveport, LA
About Jacob Ardoin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB ARDOIN (NPI 1629712153) is an individual student in an organized health care education/training program in Shreveport, Louisiana and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lake Charles, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2022).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Group Practice 1
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
Jacob Ardoin 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Jacob Ardoin's NPI number?
The NPI number for Jacob Ardoin is 1629712153. It was assigned to this individual provider in the NPPES registry on April 21, 2022.
Where is Jacob Ardoin located?
Jacob Ardoin practices at 1501 Kings Hwy, Shreveport, LA 71103. The listed phone number is (318) 626-2127.
What is Jacob Ardoin's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jacob Ardoin enrolled in Medicare?
Yes. Jacob Ardoin 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.
When was this NPI record last updated?
The NPPES record for Jacob Ardoin was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jacob Ardoin · NPI 1629712153
Student in an Organized Health Care Education/Training Program provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since April 21, 2022.
## Identity
- **NPI:** 1629712153 (Entity type: Individual)
- **Enumerated:** April 21, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, Shreveport, LA 71103-4228
- **Phone:** (318) 626-2127
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2022
## Record status
- **NPPES last updated:** January 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1629712153) · Data from the CMS NPPES public registry.