LOUELLA M JACKSON FNPC
NPI 1871630004
Nurse Practitioner - Family in Lake Charles, LA

Q: What is Louella Jackson's NPI number?

The NPI number for Louella Jackson is 1871630004. It was assigned to this individual provider in the NPPES registry on January 30, 2007.

Q: What is Louella Jackson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Louella Jackson was last updated on August 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 January 30, 2007PECOS Enrolled

2000 OPELOUSAS ST, LAKE CHARLES, LA 70601(337) 439-9983(337) 439-8898 Get Directions Write a Review

NPPES record last updated: August 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Louella M Jackson Fnpc NPPES

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

LOUELLA M JACKSON FNPC (NPI 1871630004) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (AP03007) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1871630004

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLOUELLA M JACKSONCredential: FNPC

Location Address2000 OPELOUSAS STLake Charles, LA 70601

Mailing Address2000 Opelousas StLake Charles, LA 70601-2641 · (337) 439-9983 · Fax (337) 439-8898

Phone(337) 439-9983

Fax(337) 439-8898

Sole ProprietorNo

Enumeration DateJanuary 30, 2007

Last NPPES UpdateAugust 1, 2018

✔ NPI 1871630004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in LA · AP03007

2000 OPELOUSAS ST, Lake Charles, LA 70601

Open in Google Maps ↗

Other Identifiers 1

Medicaid1691810LA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Louella M Jackson Fnpc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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 20

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

LABORATORY CORPORATION OF AMERICA

Clinical Medical Laboratory