Mrs Jennifer Goodwin, FNP - Medicare Nurse Practitioner in Shreveport, LA

  1. Home
  2. Nurse Practitioner
  3. LA
  4. Shreveport
Mrs Jennifer Goodwin, FNP is a medicare enrolled "Nurse Practitioner - Family" in Shreveport, Louisiana. Her current practice location is 1500 Line Ave, Shreveport, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 629-5555.

Mrs Jennifer Goodwin is licensed to practice in Louisiana (license number 218490) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205427523.

Contact Information

Mrs Jennifer Goodwin, FNP
1500 Line Ave,
Shreveport, LA 71101-4639
(318) 629-5555
Not Available

Map and Direction




Provider's Profile

Full NameMrs Jennifer Goodwin
GenderFemale
SpecialityNurse Practitioner - Family
Location1500 Line Ave, Shreveport, Louisiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205427523
  • Provider Enumeration Date: 01/29/2021
  • Last Update Date: 07/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7517334303
  • Enrollment ID: I20221108002043

Medical Identifiers

Medical identifiers for Mrs Jennifer Goodwin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205427523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 218490 (Louisiana)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Jennifer Goodwin allows following entities to bill medicare on her behalf.
Entity NameSpine Institute Of Louisiana Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629369210
PECOS PAC ID: 3375719446
Enrollment ID: O20111221000092
Entity NameCalcasieu Urgent Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467715490
PECOS PAC ID: 5496908071
Enrollment ID: O20130109000768

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer Goodwin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer Goodwin, FNP
1500 Line Ave Ste 200,
Shreveport, LA 71101-4643

Ph: (318) 629-5555		Mrs Jennifer Goodwin, FNP
1500 Line Ave,
Shreveport, LA 71101-4639

Ph: (318) 629-5555

Reviews and Comments


Nurse Practitioner Nurses in Shreveport, LA

Lasonya Jones, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7840 Jewella Ave, Shreveport, LA 71108
Phone: 318-401-1432    Fax: 318-562-3889
James E Harper, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1500 Line Avenue, Ste 200, Shreveport, LA 71101
Phone: 318-629-5555    Fax: 318-629-5556
Tamara J Trainer, RN, WHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1525 Fairfield Room 551, Dhh-office Of Public Health, Shreveport, LA 71101
Phone: 318-676-7470    
Ms. Shannon Renee Gully, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 510 E Stoner Ave, Shreveport, LA 71101
Phone: 318-221-8411    
Alana O Bragg,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1501 Kings Hwy, Department Of Ob/gyn, Shreveport, LA 71103
Phone: 318-675-5379    Fax: 318-675-4671
Pamela B. Simmons, PHD, APRN, FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 865 Olive St, Shreveport, LA 71104
Phone: 318-470-6194    
Barbara Lynn Bruner, N.P.
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1541 Kings Hwy, Shreveport, LA 71103
Phone: 318-626-0000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.