MANDY L BROUSSARD CRNA
NPI 1124317565
Nurse Anesthetist, Certified Registered in Metairie, LA

Active since April 06, 2011Accepts Medicare Assignment
3510 N CAUSEWAY BLVD, SUITE 404, METAIRIE, LA 70002(504) 779-5515 Get Directions Write a Review

NPPES record last updated: April 6, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1124317565
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMANDY L BROUSSARDCredential: CRNA
Location Address3510 N CAUSEWAY BLVD, SUITE 404Metairie, LA 70002-3531
Mailing Address255 W Michigan AveJackson, MI 49201-2218 · (800) 242-1131
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 6, 2011
NPI 1124317565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in LA · RN108582
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3510 N CAUSEWAY BLVD, Metairie, LA 70002

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mandy L Broussard Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557530920
PECOS Enrollment IDI20110802000287

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70002 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
$128.88 typical visit price
range $55.50 – $170.30
Typical copayment $32.22 (range $13.87 – $42.57)
Most-billed visit code 99204
Established Patient
$69.44 typical visit price
range $17.42 – $138.03
Typical copayment $17.36 (range $4.35 – $34.50)
Most-billed visit code 99213
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.

Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD, SUITE 404
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD, SUITE 404
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD, SUITE 404
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD, SUITE 404
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD, SUITE 404
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD, SUITE 404
METAIRIE, LA 70002
Nurse Anesthetist, Certified Registered
3510 N CAUSEWAY BLVD
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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.