Individual provider Active NPI

Nicole D Prosperie, MD

  • Obstetrics & Gynecology Physician
  • Thibodaux, LA
National Provider Identifier
1225229552
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD203822 Issued in LA
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

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1000965MedicaidLA
P01534049OtherLARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110804000571 LA Practitioner - Obstetrics/Gynecology 0143499384 Reassigns benefits to 1 organization
Practice locations: Thibodaux, LA

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
Thibodaux Regional Network Development CorporationGroup PAC ID 8224011754, 138 clinicians

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 Hospital, Thibodaux, LA, CCN 190004

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
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

LicenseStateTypeSpecialty
MD203822LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Regional Network Development Corporation CurrentSince Apr 1, 2013 Accepting new patients
Thibodaux Regional Network Development Corporation Obstetrics & Gynecology CurrentSince Apr 1, 2013 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.