MRS. GRACE BOURGEOIS DUFRENE FNP
NPI 1205178217
Nurse Practitioner - Psychiatric/Mental Health in Saint Martinville, LA

Active since March 18, 2013PECOS Enrolled
92.86/100
CMS Quality Rating
1119 N MAIN ST, SAINT MARTINVILLE, LA 70582(337) 394-7774(337) 394-8015 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 26, 2026, Nov 5, 2025 (2 updates tracked since 2025).

About Mrs. Grace Bourgeois Dufrene Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. GRACE BOURGEOIS DUFRENE FNP (NPI 1205178217) is an individual psychiatric/mental health provider in Saint Martinville, Louisiana, licensed in Louisiana (226264) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205178217
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. GRACE BOURGEOIS DUFRENECredential: FNP
Location Address1119 N MAIN STSaint Martinville, LA 70582-3513
Mailing Address302 Hacker StNew Iberia, LA 70560-4508 · (337) 330-2576 · Fax (337) 321-6295
Fax(337) 394-8015
Sole ProprietorNo
Enumeration DateMarch 18, 2013
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1205178217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in LA · 226264
Also ListedRegistered NurseTaxonomy 163W00000X · License RN139058 (LA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 226264 (LA)
1119 N MAIN ST, Saint Martinville, LA 70582

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)

Mrs. Grace Bourgeois Dufrene Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Grace Dufrene reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
1119 N MAIN ST
Saint Martinville, LA 70582
  • Reassigned Medicare billing, Louisiana enrollment
  • 23 clinicians in this Medicare group
Gastroenterology
1100 ANDRE ST STE 301
New Iberia, LA 70563
  • Reassigned Medicare billing, Louisiana enrollment
  • 4 clinicians in this Medicare group
General Acute Care Hospital
2315 E MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 52 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70582 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost59.55

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
Nurse Practitioner (Family)
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
Clinic/Center (Rural Health)
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582
Nurse Practitioner (Family)
1119 N MAIN ST
SAINT MARTINVILLE, LA 70582

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 Grace Dufrene's NPI number?

The NPI number for Grace Dufrene is 1205178217. It was assigned to this individual provider in the NPPES registry on March 18, 2013.

Where is Grace Dufrene located?

Grace Dufrene practices at 1119 N Main St, Saint Martinville, LA 70582. The listed phone number is (337) 394-7774.

What is Grace Dufrene's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Grace Dufrene enrolled in Medicare?

Yes. Grace Dufrene is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Grace Dufrene's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Dufrene reassigns Medicare benefits to 3 organizations: Pediatric Group Of Acadiana, LLC (Saint Martinville, LA), Luis E Alvarez MD Apmc (New Iberia, LA) and Hospital Service District No. 1 Of Iberia Parish (New Iberia, 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 Grace Dufrene's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Grace Dufrene accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 3 other insurers list Grace Dufrene 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 Grace Dufrene was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.