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ALEXIS BOURGEOIS LLC
NPI 1356007637
Nurse Practitioner - Psychiatric/Mental Health in New Iberia, LA

Active since November 11, 2021
605 S LEWIS ST, NEW IBERIA, LA 70560(337) 889-3682(337) 806-9339 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Alexis Bourgeois Llc NPPES

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

ALEXIS BOURGEOIS LLC (NPI 1356007637) is a healthcare organization registered as a psychiatric/mental health in New Iberia, Louisiana and active in the NPI registry since November 2021. The organization maintains a secondary practice location in Lafayette and lists Alexis Bourgeois, Owner-president, as its authorized official.

NPPES Registry Identity

NPI1356007637
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameALEXIS BOURGEOIS LLC
Location Address605 S LEWIS STNew Iberia, LA 70560-4820
Mailing Address215 Rue FontaineLafayette, LA 70508-5742 · (337) 889-3682 · Fax (337) 806-9339
Phone(337) 889-3682
Fax(337) 806-9339
Organization SubpartNo
Authorized OfficialAlexis BourgeoisOwner-president · (337) 889-3682
Enumeration DateNovember 11, 2021
NPPES CertifiedNovember 11, 2021
✔ NPI 1356007637 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
605 S LEWIS ST, New Iberia, LA 70560
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Secondary Practice Location 1

Location 1215 Rue FontaineLafayette, LA 70508-5742 · Phone (337) 889-3682 · Fax (337) 806-9339

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateLouisianaEnrollment IDO20211230001593Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

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

Clinician (1)

Alexis Bourgeois, PMHNP
Nurse Practitioner
NPI 1346873403
1115 WEBER ST
Franklin, LA 70538
(337) 828-2550
✔ PECOS✔ Accepts Medicare23 mi

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 Alexis Bourgeois LLC's NPI number?

The NPI number for Alexis Bourgeois LLC is 1356007637. It was assigned to this organization in the NPPES registry on November 11, 2021.

Where is Alexis Bourgeois LLC located?

Alexis Bourgeois LLC is located at 605 S Lewis St, New Iberia, LA 70560. The listed phone number is (337) 889-3682.

What is Alexis Bourgeois LLC's specialty?

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

Is Alexis Bourgeois LLC enrolled in Medicare?

Yes. Alexis Bourgeois LLC is registered in the Medicare PECOS enrollment system.

When is Alexis Bourgeois LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Louisiana, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Alexis Bourgeois LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Alexis Bourgeois 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.

When was this NPI record last updated?

The NPPES record for Alexis Bourgeois LLC was last updated on November 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.