MARY JO BROUSSARD
NPI 1285844571
Nurse Practitioner in New Orleans, LA

Active since May 23, 2007PECOS EnrolledAccepts Medicare Assignment
96.9/100
CMS Quality Rating
1541 TULANE AVE, NEW ORLEANS, LA 70112(504) 903-1301 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mary Jo Broussard NPPES

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

MARY JO BROUSSARD (NPI 1285844571) is an individual nurse practitioner in New Orleans, Louisiana, licensed in Louisiana (046359-3340) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1285844571
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY JO BROUSSARD
Location Address1541 TULANE AVENew Orleans, LA 70112-2821
Mailing Address1541 Tulane AveNew Orleans, LA 70112-2821
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateMay 23, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285844571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in LA · 046359-3340
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1541 TULANE AVE, New Orleans, LA 70112

Other Identifiers 1

Other046359-3340LA · State Board Nursing

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

Mary Jo 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.

PECOS PAC ID2769565712
PECOS Enrollment IDI20080213000683
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190005
Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70112 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
$86.76 typical visit price
range $55.50 – $170.30
Typical copayment $21.69 (range $13.87 – $42.57)
Most-billed visit code 99203
Established Patient
$98.35 typical visit price
range $17.42 – $138.03
Typical copayment $24.58 (range $4.35 – $34.50)
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.

96.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.77
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Neonatal)
1541 TULANE AVE, RM 505
NEW ORLEANS, LA 70112
Nurse Practitioner (Family)
1541 TULANE AVE
NEW ORLEANS, LA 70112
Nurse Anesthetist, Certified Registered
1541 TULANE AVE
NEW ORLEANS, LA 70112
Clinical Nurse Specialist
1541 TULANE AVE, RM 505
NEW ORLEANS, LA 70112
Anesthesiology
1541 TULANE AVE
NEW ORLEANS, LA 70112

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 Mary Broussard's NPI number?

The NPI number for Mary Broussard is 1285844571. It was assigned to this individual provider in the NPPES registry on May 23, 2007.

Where is Mary Broussard located?

Mary Broussard practices at 1541 Tulane Ave, New Orleans, LA 70112. The listed phone number is (504) 903-1301.

What is Mary Broussard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Broussard enrolled in Medicare?

Yes. Mary 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 Mary Broussard accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Mary 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 Mary Broussard affiliated with any hospitals?

According to CMS data, Mary Broussard is affiliated with University Medical Center New Orleans.

When was this NPI record last updated?

The NPPES record for Mary Broussard was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.