Individual provider Active NPI

Madison Bourque, FNP-C

  • Family Nurse Practitioner
  • Sulphur, LA
National Provider Identifier
1538965447
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
211170 Issued in LA
Practice address
600 Cypress St
Sulphur, LA 70663-5052
Phone
(337) 527-6371
NPI assigned
Feb 21, 2025
Last updated
Jan 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 211170 LA Primary

Addresses

Primary practice location

600 Cypress St
Sulphur, LA 70663-5052

Mailing address

600 Cypress St
Sulphur, LA 70663-5052

Other practice location 1

601 N Thomson Ave Ste C
Iowa, LA 70647-7000
Phone (337) 409-8081

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
I20260417000985 LA Practitioner - Nurse Practitioner 3779059621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4055 Valley View LN
Suite 700
Dallas, TX 75244-4910

4100 International PLZ
Fort Worth, TX 76109-4800

601 N Thomson Ave
Suite C
Iowa, LA 70647-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
211170LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Quickcare LLC CurrentSince Jun 6, 2026 Accepting new patients
Sulphur Pediatric Clinic Medical Corporation PastSince Feb 23, 2025 Accepting new patients

Locations

601 N Thomson Ave
#C
Iowa, LA 70647
Phone (337) 409-8081

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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1538965447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CYPRESS ST",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706635052",
            "telephone_number": "337-527-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 N Thomson Ave Ste C",
            "address_purpose": "LOCATION",
            "city": "Iowa",
            "state": "LA",
            "postal_code": "706477000",
            "country_code": "US",
            "telephone_number": "337-409-8081",
            "fax_number": "337-270-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOURQUE",
        "first_name": "MADISON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "211170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.