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

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: October 25, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Louella Jackson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elbowoods Memorial Health Center
1,318 mi
Clinic/Center
1251 ELBOWOODS LOOP
New Town, ND 58763
  • Reassigned Medicare billing, North Dakota enrollment
  • 51 clinicians in this Medicare group
NPI 1831365519 (701) 627-4750

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 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.

DEDRA ALEXANDER APRN
Nurse Practitioner (Psychiatric/Mental Health)
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-9983
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 419-3657
ANGIE EWALT DUKES FNP-C
Nurse Practitioner (Family)
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-9983
DR. LAFAITH CHIVONNE MILLER D.M.D
Dentist (General Practice)
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-9983
BARBARA GRIGSBY LDN, RD
Dietitian, Registered
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-9983
DR. TAMMY MITCHELL M.D.
Family Medicine
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 439-9983
MARIEL J RACCA NP-C
Nurse Practitioner
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 493-5115
NICOLE M JOHN
Nurse Practitioner (Family)
2000 OPELOUSAS ST
LAKE CHARLES, LA 70601
Calcasieu Parish (337) 493-9983

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 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.

Where is Louella Jackson located?

Louella Jackson practices at 2000 Opelousas St, Lake Charles, LA 70601. The listed phone number is (337) 439-9983.

What is Louella Jackson's specialty?

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

Is Louella Jackson enrolled in Medicare?

Yes. Louella Jackson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Louella Jackson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louella Jackson reassigns Medicare benefits to Elbowoods Memorial Health Center (New Town, ND). The 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 Louella Jackson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.