Individual provider Active NPI

Nichole Baucan, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Leesville, LA
National Provider Identifier
1093428542
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
227609 Issued in LA
Practice address
298 Nolan Trce
Leesville, LA 71446-3912
Phone
(337) 392-0110
Fax
(337) 392-0111
NPI assigned
Dec 29, 2022
Last updated
Jan 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 227609 LA Primary

Addresses

Primary practice location

298 Nolan Trce
Leesville, LA 71446-3912

Mailing address

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945

Other practice location 1

2829 Youree Dr Ste 7
Shreveport, LA 71104-3640
Phone (337) 392-0110 ext. 337

Other practice location 2

567 Walker St
Merryville, LA 70653-3040
Phone (337) 825-1228

Other practice location 3

806 Jefferson Ter
New Iberia, LA 70560-5727
Phone (337) 365-4945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231026002383 LA Practitioner - Nurse Practitioner 8729434774 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

298 Nolan Trce
Leesville, LA 71446-3912
Phone (337) 392-0110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
227609LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iberia Comprehensive Community Health Center, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Iberia Comprehensive Community Health Center,Inc. CurrentSince Oct 16, 2023 Accepting new patients
Iberia Comprehensive Community Health Center, Inc. Past Accepting new patients
Iberia Comprehensive Community Health Center, Inc. Past Accepting new patients
Iberia Comprehensive Community Health Center,Inc. Past Accepting new patients

Locations

298 Nolan Trce
Leesville, LA 71446
Phone (337) 392-0110

1050 N Robinson St
Many, LA 71449
Phone (318) 256-8150

567 Walker St
Merryville, LA 70653
Phone (337) 365-4945

806 Jefferson Ter
New Iberia, LA 70560
Phone (337) 365-4945

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1093428542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 JEFFERSON TER",
            "city": "NEW IBERIA",
            "state": "LA",
            "postal_code": "705605727",
            "telephone_number": "337-365-4945",
            "fax_number": "337-367-3917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "298 NOLAN TRCE",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714463912",
            "telephone_number": "337-392-0110",
            "fax_number": "337-392-0111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2829 Youree Dr Ste 7",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711043640",
            "country_code": "US",
            "telephone_number": "337-392-0110 x337",
            "fax_number": "614-707-7679",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "567 Walker St",
            "address_purpose": "LOCATION",
            "city": "Merryville",
            "state": "LA",
            "postal_code": "706533040",
            "country_code": "US",
            "telephone_number": "337-825-1228",
            "fax_number": "337-825-1229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "806 Jefferson Ter",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705605727",
            "country_code": "US",
            "telephone_number": "337-365-4945",
            "fax_number": "337-367-3917",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUCAN",
        "first_name": "NICHOLE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "227609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesville, LA

Sources for this page

Verify at the official NPI Registry.