Individual provider Active NPI

Tracy P Broussard, F.N.P.

  • Family Nurse Practitioner
  • Opelousas, LA
National Provider Identifier
1619970308
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN087132 AP04548 Issued in LA
Practice address
8762 Highway 182
Opelousas, LA 70570-5603
Phone
(337) 942-2005
Fax
(337) 942-9736
NPI assigned
May 27, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 RN087132 AP04548 LA Primary

Addresses

Primary practice location

8762 Highway 182
Opelousas, LA 70570-5603

Mailing address

8762 Highway 182
Opelousas, LA 70570-5603
Phone (337) 942-2005

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
I20041130000219 LA Practitioner - Nurse Practitioner 2668437831 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurological Associates of Louisiana, L.L.C.Group PAC ID 2961301130, 4 clinicians

Practice addresses (Care Compare)

118 Rue Fontaine
Lafayette, LA 70508-5745
Phone (337) 534-8680

8762 Hwy 182
Opelousas, LA 70570-5603
Phone (337) 942-3390

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN087132 AP04548LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Louisiana Primary Health Care Center Inc CurrentSince Dec 24, 2025 Accepting new patients
Neurological Associates of Louisiana, L.L.C. CurrentSince Feb 3, 2025 Accepting new patients
Southwest Louisiana Primary Health Care Center, Inc CurrentSince Dec 24, 2025 Accepting new patients
Southwest Louisiana Primary Health Care Center, Inc Past Accepting new patients
Cain & Johnson Oncology LLC Past Accepting new patients

Locations

1103 Kaliste Saloom Rd
Ste 206
Lafayette, LA 70508
Phone (337) 267-1319

118 Rue Fontaine
Lafayette, LA 70508
Phone (337) 534-8680

155 Hospital Dr
Ste 100
Lafayette, LA 70503
Phone (337) 235-7743

8762 Highway 182
Opelousas, LA 70570
Phone (337) 942-2005

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEIHAA

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, 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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619970308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8762 HIGHWAY 182",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705603",
            "telephone_number": "337-942-2005",
            "fax_number": "337-942-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8762 HIGHWAY 182",
            "city": "OPELOUSAS",
            "state": "LA",
            "postal_code": "705705603",
            "telephone_number": "337-942-2005",
            "fax_number": "337-942-9736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUSSARD",
        "first_name": "TRACY",
        "middle_name": "P",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-13",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN087132 AP04548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelousas, LA

Sources for this page

Verify at the official NPI Registry.