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CINDERELLA BROUSSARD LLC
NPI 1295273837
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, LA

Active since February 02, 2017
208 W GLORIA SWITCH RD # 6, LAFAYETTE, LA 70507(337) 565-7026(855) 832-5335 Get Directions Write a Review

NPPES record last updated: January 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 11, 2020, May 20, 2019, Feb 2, 2017 (3 updates tracked since 2017).

About Cinderella Broussard Llc NPPES

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

CINDERELLA BROUSSARD LLC (NPI 1295273837) is a healthcare organization registered as a psychiatric/mental health in Lafayette, Louisiana and active in the NPI registry since February 2017. The organization lists Cinderella Marie Broussard, Owner, as its authorized official.

NPPES Registry Identity

NPI1295273837
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCINDERELLA BROUSSARD LLC
Location Address208 W GLORIA SWITCH RD # 6Lafayette, LA 70507-3409
Mailing AddressPo Box 913Carencro, LA 70520-0913 · (337) 886-3151
Phone(337) 565-7026
Fax(855) 832-5335
Organization SubpartNo
Authorized OfficialCinderella Marie BroussardOwner · (337) 886-3151
Enumeration DateFebruary 2, 2017
Last NPPES UpdateJanuary 11, 20203 updates tracked since enumeration
✔ NPI 1295273837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in LA · AP09099
208 W GLORIA SWITCH RD # 6, Lafayette, LA 70507
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cinderella Broussard Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Cinderella Broussard LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cinderella Broussard, RN
Nurse Practitioner
NPI 1801070859
208 W GLORIA SWITCH RD
Lafayette, LA 70507
(337) 565-7026
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Cinderella Broussard LLC's NPI number?

The NPI number for Cinderella Broussard LLC is 1295273837. It was assigned to this organization in the NPPES registry on February 2, 2017.

Where is Cinderella Broussard LLC located?

Cinderella Broussard LLC is located at 208 W Gloria Switch Rd # 6, Lafayette, LA 70507. The listed phone number is (337) 565-7026.

What is Cinderella Broussard LLC's specialty?

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

Is Cinderella Broussard LLC enrolled in Medicare?

Yes. Cinderella Broussard LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Cinderella Broussard LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Cinderella Broussard LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Cinderella Broussard LLC accept?

Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Cinderella Broussard LLC 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 Cinderella Broussard LLC was last updated on January 11, 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.