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MR. CARLOS A BROUSSARD CRNA
NPI 1861588667
Nurse Anesthetist, Certified Registered in New Iberia, LA

Active since October 05, 2006
600 N LEWIS ST, NEW IBERIA, LA 70560(337) 365-3168(337) 369-3536 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mr. Carlos A Broussard Crna NPPES

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

MR. CARLOS A BROUSSARD CRNA (NPI 1861588667) is an individual nurse anesthetist, certified registered in New Iberia, Louisiana, licensed in Louisiana (04660) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1861588667
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. CARLOS A BROUSSARDCredential: CRNA
Location Address600 N LEWIS STNew Iberia, LA 70560
Mailing AddressPo Box 52533Lafayette, LA 70505 · (337) 365-3168 · Fax (337) 369-3536
Phone(337) 365-3168
Fax(337) 369-3536
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMarch 28, 2008
✔ NPI 1861588667 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
License✔ Licensed in LA · 04660
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.
600 N LEWIS ST, New Iberia, LA 70560
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Other Identifiers 2

Medicare PIN4H499CH84LA
Medicaid1623393LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HMO Louisiana.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Carlos A Broussard Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Carlos Broussard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Youngs Professional Services LLC
1.3 mi
Nurse Anesthetist, Certified Registered
1100 ANDRE ST, SUITE 300
New Iberia, LA 70563
  • Reassigned Medicare billing, Louisiana enrollment
  • 470 clinicians in this Medicare group
NPI 1922178599 (337) 364-9225
Hospital Service District No. 1 Of Iberia Parish
1.5 mi
General Acute Care Hospital
2315 E MAIN ST
New Iberia, LA 70560
  • Reassigned Medicare billing, Louisiana enrollment
  • 52 clinicians in this Medicare group
NPI 1780690180 (337) 374-7104

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

Other Providers at the Same Location NPPES 2

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

MR. GLYN D ROGERS CRNA
Nurse Anesthetist, Certified Registered
600 N LEWIS ST
NEW IBERIA, LA 70560
Iberia Parish (337) 365-3168
MR. PAUL W BROUSSARD CRNA
Nurse Anesthetist, Certified Registered
600 N LEWIS ST
NEW IBERIA, LA 70560
Iberia Parish (337) 365-3168

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 Carlos Broussard's NPI number?

The NPI number for Carlos Broussard is 1861588667. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Carlos Broussard located?

Carlos Broussard practices at 600 N Lewis St, New Iberia, LA 70560. The listed phone number is (337) 365-3168.

What is Carlos Broussard's specialty?

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

Is Carlos Broussard enrolled in Medicare?

Yes. Carlos Broussard is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlos Broussard's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Broussard reassigns Medicare benefits to 2 organizations: Youngs Professional Services LLC (New Iberia, LA) and Hospital Service District No. 1 Of Iberia Parish (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 Carlos Broussard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Broussard accept?

Health plans from HMO Louisiana list Carlos 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 Carlos Broussard was last updated on March 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.