Active NPI
Nicole D Prosperie, MD
- Obstetrics & Gynecology Physician
- Thibodaux, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD203822
- Practice address
- 604 N Acadia Rd Ste 500
Thibodaux, LA 70301-4743 - Phone
- (985) 448-1216
- Fax
- (985) 446-8765
- NPI assigned
- Aug 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD203822 | LA | Primary |
Addresses
Primary practice location
604 N Acadia Rd Ste 500
Thibodaux, LA 70301-4743
Mailing address
PO Box 5478
Thibodaux, LA 70302-5478
Phone (985) 448-1216
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000965 | Medicaid | LA | |
| P01534049 | Other | LA | RAILROAD MEDICARE |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 N Acadia Rd
Thibodaux, LA 70301-4823
604 N Acadia Rd
Suite 500
Thibodaux, LA 70301-4743
Phone (985) 448-1216
Hospital & facility affiliations
- Thibodaux Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.55 of 100
- Quality
- 67.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD203822 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Obstetrics & Gynecology | Current | Accepting new patients |
| Thibodaux Regional Network Development Corporation | Current | Accepting new patients | |
| Thibodaux Regional Network Development Corporation | Past | Accepting new patients | |
| Thibodaux Regional Health System Inc | Past | Accepting new patients |
Locations
604 N Acadia Rd
Ste 500
Thibodaux, LA 70301
Phone (985) 448-1216
602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544
506 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 448-1216
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1285658310
-
- Obstetrics & Gynecology Physician
- Thibodaux, LA
- NPI 1184963613
-
- Clinical Cardiac Electrophysiology Physician
- Thibodaux, LA
- NPI 1770435851
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
-
- Diagnostic Radiology Physician
- Thibodaux, LA
- NPI 1467427336
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1225229552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5478",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703025478",
"telephone_number": "985-448-1216",
"fax_number": "985-446-8765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N ACADIA RD STE 500",
"city": "THIBODAUX",
"state": "LA",
"postal_code": "703014743",
"telephone_number": "985-448-1216",
"fax_number": "985-446-8765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROSPERIE",
"first_name": "NICOLE",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD203822",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000965",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01534049",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thibodaux, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.