MANDY L BROUSSARD CRNA
NPI 1124317565
Nurse Anesthetist, Certified Registered in Metairie, LA
About Mandy L Broussard Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY L BROUSSARD CRNA (NPI 1124317565) is an individual nurse anesthetist, certified registered in Metairie, Louisiana, licensed in Louisiana (RN108582) and active in the NPI registry since April 2011.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandy L Broussard Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Mandy Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Place, LA 70068
- Reassigned Medicare billing, Louisiana enrollment
- 482 clinicians in this Medicare group
Baton Rouge, LA 70809
- Reassigned Medicare billing, Louisiana enrollment
- 357 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
METAIRIE, LA 70002
METAIRIE, LA 70002
METAIRIE, LA 70002
METAIRIE, LA 70002
METAIRIE, LA 70002
METAIRIE, LA 70002
METAIRIE, LA 70002
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 Mandy Broussard's NPI number?
The NPI number for Mandy Broussard is 1124317565. It was assigned to this individual provider in the NPPES registry on April 6, 2011.
Where is Mandy Broussard located?
Mandy Broussard practices at 3510 N Causeway Blvd Suite 404, Metairie, LA 70002. The listed phone number is (504) 779-5515.
What is Mandy Broussard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Mandy Broussard enrolled in Medicare?
Yes. Mandy Broussard is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Mandy Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandy Broussard reassigns Medicare benefits to 2 organizations: Zephyr Anesthesia, LLC (La Place, LA) and Anesthesiology Group Associates Inc (Baton Rouge, LA). Each 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 Mandy Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mandy Broussard accept?
Health plans from HMO Louisiana list Mandy Broussard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mandy Broussard was last updated on April 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Mandy L Broussard, CRNA · NPI 1124317565
Nurse Anesthetist, Certified Registered physician in Metairie, Louisiana. Individual provider, active in the CMS NPPES registry since April 6, 2011.
## Identity
- **NPI:** 1124317565 (Entity type: Individual)
- **Enumerated:** April 6, 2011
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN108582 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 3510 N CAUSEWAY BLVD, SUITE 404, Metairie, LA 70002-3531
- **Phone:** (504) 779-5515
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Zephyr Anesthesia, LLC (NPI 1891087458, La Place, LA); Anesthesiology Group Associates Inc (NPI 1255399598, Baton Rouge, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 6, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1124317565) · Data from the CMS NPPES public registry.