Jefferson Street Primary Care Clinic
NPI 1124811450 · Primary Care Clinic/Center · Lafayette, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jefferson Street Primary Care Clinic is a Primary Care Clinic/Center organization in Lafayette, LA (NPI 1124811450).
Provider details
- NPI number
- 1124811450
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antoinette Rabenaldt, Credentialing Coordinator/Hr(337) 330-2576
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2026-02-11
- Certified
- 2026-02-11
Frequently asked questions
- What is Jefferson Street Primary Care Clinic's NPI number?
- Jefferson Street Primary Care Clinic's National Provider Identifier (NPI) is 1124811450, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jefferson Street Primary Care Clinic?
- Jefferson Street Primary Care Clinic is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Jefferson Street Primary Care Clinic located?
- Jefferson Street Primary Care Clinic's practice location on file with NPPES is 618 Jefferson Blvd, Lafayette, LA 70501-7206.
- What is Jefferson Street Primary Care Clinic's phone number?
- The practice phone number listed in the NPPES registry for Jefferson Street Primary Care Clinic is (337) 345-1709.
- Does Jefferson Street Primary Care Clinic accept Medicare?
- Jefferson Street Primary Care Clinic is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jefferson Street Primary Care Clinic?
- The authorized official listed on Jefferson Street Primary Care Clinic's NPPES record is Antoinette Rabenaldt, Credentialing Coordinator/Hr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jefferson Street Primary Care Clinic's NPI active?
- Yes — Jefferson Street Primary Care Clinic's NPI (1124811450) is active in the NPPES registry as of the last update on 2026-02-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.