Individual provider Active NPI

Cammie Miria Broussard, FNP-C

  • Family Nurse Practitioner
  • Crowley, LA
National Provider Identifier
1548799331
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP09325 Issued in LA
Practice address
155 Odd Fellows Rd
Crowley, LA 70526-2204
Phone
(337) 514-5200
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 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 AP09325 LA Primary

Addresses

Primary practice location

155 Odd Fellows Rd
Crowley, LA 70526-2204

Mailing address

105 Landsdowne Way
Carencro, LA 70520-6251

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
I20171121003470 LA Practitioner - Nurse Practitioner 7214294537 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coolidge Emergency Group LLCGroup PAC ID 4880846427, 25 clinicians
Quickmed After Hours Walk in ClinicGroup PAC ID 6406100288, 3 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2696
Phone (337) 289-7991

606 Latiolais Dr
Breaux Bridge, LA 70517-4231
Phone (337) 442-6254

814 Jefferson Ter
Suite a
New Iberia, LA 70560-5727
Phone (337) 256-5123

Hospital & facility affiliations

  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

Merit-based Incentive Payment System (MIPS)

Final score
96.73 of 100Reported as group
Quality
84.95
Improvement activities
40
Cost
85.77

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP09325LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hulin Urgent Care Services LLC CurrentSince Dec 14, 2020 Accepting new patients
Ascension Emergency Physicians LLC CurrentSince Apr 15, 2019 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Dec 14, 2020 Accepting new patients
Quickmed After Hours Walk in Clinic Family CurrentSince Nov 9, 2018 Accepting new patients
M.C. Empowerment Enterprise LLC CurrentSince Mar 1, 2023 Accepting new patients
Coolidge Emergency Group LLC Nurse Practitioner CurrentSince Sep 24, 2017 Accepting new patients
Sunshine Pediatric and Family Clinic LLC CurrentSince May 1, 2023 Accepting new patients
Ambassador Emergency Group LLC Nurse Practitioner CurrentSince Oct 12, 2020 Accepting new patients
My Harmony Now LLC Past Accepting new patients
Beluxxe Health and Wellness LLC PastSince Dec 10, 2023 Accepting new patients

Locations

555 Lakes Blvd
Breaux Bridge, LA 70517
Phone (337) 332-3971

606 Latiolais Dr
Breaux Bridge, LA 70517
Phone (337) 332-4808

606 Latiolais Dr
Unit A
Breaux Bridge, LA 70517
Phone (337) 414-6463

1125 W Highway 30
Gonzales, LA 70737
Phone (225) 621-2975

2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

106 Oil Center Dr
Ste 104B
Lafayette, LA 70503
Phone (337) 212-4122

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

814 Jefferson Ter
Ste A
New Iberia, LA 70560
Phone (337) 256-5123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18475/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HBAHCD
  • Direct secure messaging: cammie.broussard.1@18475.direct.athenahealth.com
  • Direct secure messaging: cbroussard1443339@direct.ochsner.org

Organizations & group practices 11

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": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1548799331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LANDSDOWNE WAY",
            "city": "CARENCRO",
            "state": "LA",
            "postal_code": "705206251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 ODD FELLOWS RD",
            "city": "CROWLEY",
            "state": "LA",
            "postal_code": "705262204",
            "telephone_number": "337-514-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "CAMMIE",
        "middle_name": "MIRIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-06",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP09325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crowley, LA

Sources for this page

Verify at the official NPI Registry.