GREG A BROUSSARD CRNA
NPI 1619241064
Nurse Anesthetist, Certified Registered in Lafayette, LA
About Greg A Broussard Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREG A BROUSSARD CRNA (NPI 1619241064) is an individual nurse anesthetist, certified registered in Lafayette, Louisiana, licensed in Louisiana (RN112825AP06765) and active in the NPI registry since March 2012. He is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Greg A 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.
Medicare Billing Reassignments
2Medicare enrollment records show Greg Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lafayette, LA 70508
- Reassigned Medicare billing, Louisiana enrollment
- 30 clinicians in this Medicare group
New Iberia, LA 70563
- Reassigned Medicare billing, Louisiana enrollment
- 470 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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 70508 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
LAFAYETTE, LA 70508
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 Greg Broussard's NPI number?
The NPI number for Greg Broussard is 1619241064. It was assigned to this individual provider in the NPPES registry on March 2, 2012.
Where is Greg Broussard located?
Greg Broussard practices at 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508. The listed phone number is (337) 470-2966.
What is Greg Broussard's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Greg Broussard enrolled in Medicare?
Yes. Greg 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 Greg Broussard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Greg Broussard reassigns Medicare benefits to 2 organizations: Los Anesthesia Services LLC (Lafayette, LA) and Youngs Professional Services LLC (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 Greg Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Greg Broussard accept?
Health plans from HMO Louisiana list Greg 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.
When was this NPI record last updated?
The NPPES record for Greg Broussard was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Greg A Broussard, CRNA · NPI 1619241064
Nurse Anesthetist, Certified Registered physician in Lafayette, Louisiana. Individual provider, active in the CMS NPPES registry since March 2, 2012.
## Identity
- **NPI:** 1619241064 (Entity type: Individual)
- **Enumerated:** March 2, 2012
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** RN112825AP06765 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4801 AMBASSADOR CAFFERY PKWY, Lafayette, LA 70508-6917
- **Phone:** (337) 470-2966 · **Fax:** (337) 470-2776
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Los Anesthesia Services LLC (NPI 1508687419, Lafayette, LA); Youngs Professional Services LLC (NPI 1922178599, New Iberia, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 2, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1619241064) · Data from the CMS NPPES public registry.