SHANA MARIE BROUSSARD
NPI 1134740798
Nurse Practitioner - Family in Vancleave, MS
About Shana Marie Broussard NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANA MARIE BROUSSARD (NPI 1134740798) is an individual family provider in Vancleave, Mississippi, licensed in Mississippi (903748) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital At Gulfport, and is a graduate of Other (2019).
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 and accepts Medicare assignment
Shana Marie Broussard 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.
Medicare Billing Reassignments
5Medicare enrollment records show Shana Broussard reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Biloxi, MS 39532
- Reassigned Medicare billing, Mississippi enrollment
- 90 clinicians in this Medicare group
Diberville, MS 39540
- Reassigned Medicare billing, Mississippi enrollment
- 47 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 64 clinicians in this Medicare group
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 65 clinicians in this Medicare group
Pascagoula, MS 39567
- Reassigned Medicare billing, Mississippi enrollment
- 51 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.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital At Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39565 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shana Broussard's NPI number?
The NPI number for Shana Broussard is 1134740798. It was assigned to this individual provider in the NPPES registry on May 5, 2020.
Where is Shana Broussard located?
Shana Broussard practices at 10404 Tucker Rd # LLC, Vancleave, MS 39565. The listed phone number is (228) 354-9505.
What is Shana Broussard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shana Broussard enrolled in Medicare?
Yes. Shana 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.
Which organizations bill Medicare for Shana Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shana Broussard reassigns Medicare benefits to 5 organizations: Coastal Family Health Center, Inc (Biloxi, MS), Maxem Health Urgent Care Diberville (Diberville, MS), Ocean Springs Urgent Care (Ocean Springs, MS), Orange Grove Urgent Care (Gulfport, MS) and Pascagoula Urgent Care (Pascagoula, MS). 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 Shana Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shana Broussard accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Shana 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.
Is Shana Broussard affiliated with any hospitals?
According to CMS data, Shana Broussard is affiliated with Memorial Hospital At Gulfport.
When was this NPI record last updated?
The NPPES record for Shana Broussard was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shana Marie Broussard · NPI 1134740798
Family physician in Vancleave, Mississippi. Individual provider, active in the CMS NPPES registry since May 5, 2020.
## Identity
- **NPI:** 1134740798 (Entity type: Individual)
- **Enumerated:** May 5, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 903748 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 10404 TUCKER RD # LLC, Vancleave, MS 39565-7922
- **Phone:** (228) 354-9505
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Coastal Family Health Center, Inc (NPI 1558026328, Biloxi, MS); Maxem Health Urgent Care Diberville (NPI 1265991608, Diberville, MS); Ocean Springs Urgent Care (NPI 1871808022, Ocean Springs, MS); Orange Grove Urgent Care (NPI 1831330661, Gulfport, MS); Pascagoula Urgent Care (NPI 1235442872, Pascagoula, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 24, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1134740798) · Data from the CMS NPPES public registry.