Individual provider Active NPI

Jency Broussard Nugier, PA-C

  • Physician Assistant
  • Lafayette, LA
National Provider Identifier
1376274340
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
332772 Issued in LA
Practice address
1211 Coolidge Street
Lafayette, LA 70503
Phone
(337) 232-6697
NPI assigned
Jun 21, 2022
Last updated
Jan 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Physician Assistant 363A00000X 332772 LA Primary

Addresses

Primary practice location

1211 Coolidge Street
Lafayette, LA 70503

Mailing address

308 Sommerset Dr
Lafayette, LA 70506-5714
Phone (337) 852-1069

Other practice location 1

1833 E Main St
New Iberia, LA 70560-4045
Phone (337) 367-7463

Other practice location 2

401 E Verot School Rd
Lafayette, LA 70508-3315
Phone (318) 793-7910

Other practice location 3

1135 Expressway Dr Ste 100B
Pineville, LA 71360-6666
Phone (318) 793-7910

Other names 1

  • Jency Marie Broussard Former name

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
I20220920003712 LA Practitioner - Physician Assistant 6800271230 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Integrated Medical Clinics LLCGroup PAC ID 8022372598, 12 clinicians

Practice addresses (Care Compare)

401 E Verot School Rd
Lafayette, LA 70508-3315
Phone (337) 232-3353

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Louisiana Physical Therapy Centers of Pineville LLC Single Specialty Past Accepting new patients
Louisiana Brain Injury Specialists, LLC PastSince Sep 28, 2025 Accepting new patients

Organizations & group practices 4

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": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767398400000",
    "number": "1376274340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SOMMERSET DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705065714",
            "telephone_number": "337-852-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 COOLIDGE STREET",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "70503",
            "telephone_number": "337-232-6697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1833 E Main St",
            "address_purpose": "LOCATION",
            "city": "New Iberia",
            "state": "LA",
            "postal_code": "705604045",
            "country_code": "US",
            "telephone_number": "337-367-7463",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 E Verot School Rd",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "LA",
            "postal_code": "705083315",
            "country_code": "US",
            "telephone_number": "318-793-7910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1135 Expressway Dr Ste 100B",
            "address_purpose": "LOCATION",
            "city": "Pineville",
            "state": "LA",
            "postal_code": "713606666",
            "country_code": "US",
            "telephone_number": "318-793-7910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUGIER",
        "first_name": "JENCY",
        "middle_name": "BROUSSARD",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "332772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENCY",
            "last_name": "BROUSSARD",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.