DUSTIN COLE BROUSSARD CRNA
NPI 1407151913
Nurse Anesthetist, Certified Registered in Pensacola, FL

Active since January 13, 2011Accepts Medicare Assignment
4901 GRANDE DR, PENSACOLA, FL 32504(850) 477-7042(850) 474-9060 Get Directions Write a Review

NPPES record last updated: October 25, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dustin Cole Broussard Crna NPPES

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

DUSTIN COLE BROUSSARD CRNA (NPI 1407151913) is an individual nurse anesthetist, certified registered in Pensacola, Florida, licensed in Louisiana (AP06688) and active in the NPI registry since January 2011. He is affiliated with Ochsner Lsu Health Monroe, maintains a secondary practice location in Pensacola, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1407151913
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDUSTIN COLE BROUSSARDCredential: CRNA
Location Address4901 GRANDE DRPensacola, FL 32504-5935
Mailing AddressPo Box 3185Monroe, LA 71210-3185 · (318) 998-6129 · Fax (318) 812-1755
Fax(850) 474-9060
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJanuary 13, 2011
Last NPPES UpdateOctober 25, 2017
✔ NPI 1407151913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in LA · AP06688✔ Licensed in FL · RN9306451
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4901 GRANDE DR, Pensacola, FL 32504

Secondary Practice Location 1

Location 14901 Grande DrPensacola, FL 32504-5935 · Phone (850) 477-7042 · Fax (850) 474-9060

Other Identifiers 6

OtherY06R8FL · Blue Cross Blue Shield
Medicare PINEM626ZFL
OtherP00924079Railroad Medicare
Other592-13560AL · Blue Cross Blue Shield
Medicaid003203300FL
Medicaid125633AL

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

Dustin Cole Broussard Crna 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 ID1658552096
PECOS Enrollment IDI20111122000761, I20250331000665, I20260116000674

Medicare Billing Reassignments

12

Medicare enrollment records show Dustin Broussard reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
694 BELLE TERRE BLVD
La Place, LA 70068
  • Reassigned Medicare billing, Louisiana enrollment
  • 482 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Louisiana enrollment
  • 470 clinicians in this Medicare group
Psychiatric Unit
4864 JACKSON ST
Monroe, LA 71202
  • Reassigned Medicare billing, Louisiana enrollment
  • 119 clinicians in this Medicare group
Ambulatory Surgical
316 S 6TH ST
Monroe, LA 71201
  • Reassigned Medicare billing, Louisiana enrollment
  • 29 clinicians in this Medicare group
Ophthalmology
1804 N 7TH ST
West Monroe, LA 71291
  • Reassigned Medicare billing, Louisiana enrollment
  • 37 clinicians in this Medicare group
General Acute Care Hospital
503 MCMILLAN RD
West Monroe, LA 71291
  • Reassigned Medicare billing, Louisiana enrollment
  • 18 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
901 JAMES AVE
Farmerville, LA 71241
  • Reassigned Medicare billing, Louisiana enrollment
  • 30 clinicians in this Medicare group
Anesthesiology
401 E VAUGHN AVE
Ruston, LA 71270
  • Reassigned Medicare billing, Louisiana enrollment
  • 33 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1 MEDICAL PLAZA PL
Minden, LA 71055
  • Reassigned Medicare billing, Louisiana enrollment
  • 11 clinicians in this Medicare group
Urgent Care
3015 WEST PALMETTO STREET
Florence, SC 29501
  • Reassigned Medicare billing, South Carolina enrollment
  • 878 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 8

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.

Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01938
This procedure involves using anesthesia to numb your lower back for certain procedures like injections, drainage, or aspiration on your spine or spinal cord. Imaging guidance is used to accurately locate the area to be treated, ensuring precision and safety.
125 services113 patients
Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand 01810
Anesthesia for procedures on the forearm, wrist, and hand involves administering medication to block sensation in these areas. This helps ensure comfort and painlessness during surgeries or treatments involving nerves, muscles, tendons, and tissue in these regions.
57 services56 patients
Anesthesia for injection, drainage or aspiration procedures on spine or spinal cord of neck or upper back accessed through skin using imaging guidance 01937
This procedure involves administering anesthesia to numb the neck or upper back area. This helps in carrying out procedures like injection, drainage, or aspiration on the spine or spinal cord. Imaging guidance is used to ensure accurate placement, enhancing safety and effectiveness.
32 services29 patients
Anesthesia for nerve destruction procedures on spine or spinal cord of lower back accessed through skin using imaging guidance 01940
This is a procedure where anesthesia is applied to numb specific nerves in your lower back. Using imaging guidance, the doctor can accurately locate these nerves through the skin. This is done to alleviate pain by disrupting nerve signals. It's a safe and effective method.
27 services25 patients
Anesthesia for other procedure on top of arm bone and shoulder joint 01630
Anesthesia for a procedure on the arm bone or shoulder joint involves using medication to numb the area or make you unconscious during surgery. This ensures you feel no pain during the procedure. It's a common and safe practice in medical surgeries.
23 services23 patients
Anesthesia for other procedure on forearm, wrist, or hand bones 01830
Anesthesia for procedures on forearm, wrist, or hand bones involves administering medications to block sensation in the specific area. It ensures you don't feel pain during the procedure. It can be local (numbing a small area) or regional (numbing a larger part of the body).
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Ochsner Lsu Health Monroe

Acute Care Hospitals · Monroe, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190011
Location4864 Jackson StreetMonroe, LA 71202 · Ouachita County
Emergency services Birthing friendly

Mcleod Loris Hospital

Acute Care Hospitals · Loris, SC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420105
Location3655 Mitchell StreetLoris, SC 29569 · Horry County

Potomac Valley Hospital

Critical Access Hospitals · Keyser, WV
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511315
Location100 Pin Oak LaneKeyser, WV 26726 · Mineral County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32504 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Nurse Anesthetist, Certified Registered
4901 GRANDE DR
PENSACOLA, FL 32504
Nurse Anesthetist, Certified Registered
4901 GRANDE DR
PENSACOLA, FL 32504
Nurse Anesthetist, Certified Registered
4901 GRANDE DR
PENSACOLA, FL 32504
Nurse Anesthetist, Certified Registered
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Anesthesiology
4901 GRANDE DR
PENSACOLA, FL 32504
Nurse Anesthetist, Certified Registered
4901 GRANDE DR
PENSACOLA, FL 32504

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 Dustin Broussard's NPI number?

The NPI number for Dustin Broussard is 1407151913. It was assigned to this individual provider in the NPPES registry on January 13, 2011.

Where is Dustin Broussard located?

Dustin Broussard practices at 4901 Grande Dr, Pensacola, FL 32504. The listed phone number is (850) 477-7042.

What is Dustin Broussard's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dustin Broussard enrolled in Medicare?

Yes. Dustin 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 Dustin Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dustin Broussard reassigns Medicare benefits to 12 organizations: Zephyr Anesthesia, LLC (La Place, LA), Youngs Professional Services LLC (New Iberia, LA), Brfhh Monroe LLC (Monroe, LA), Endoscopy Center Of Monroe (Monroe, LA), Joseph E Humble And Raymond Haik, Ptrs (West Monroe, LA) and 7 more organizations, listed in the Medicare section above. 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 Dustin Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dustin Broussard accept?

Health plans from CareSource, HMO Louisiana and UnitedHealthcare list Dustin 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 Dustin Broussard affiliated with any hospitals?

According to CMS data, Dustin Broussard is affiliated with Ochsner Lsu Health Monroe, Mcleod Loris Hospital and Potomac Valley Hospital.

When was this NPI record last updated?

The NPPES record for Dustin Broussard was last updated on October 25, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.