Active NPI
Nicholas Charles Patin, CRNA
- Certified Registered Nurse Anesthetist
- Lafayette, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- AP05254
- Practice address
- 1214 Coolidge Blvd
Lafayette, LA 70503-2621 - Phone
- (337) 289-7991
- NPI assigned
- Jun 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN107416 | LA | |
| Certified Registered Nurse Anesthetist | 367500000X | AP05254 | LA | Primary |
Addresses
Primary practice location
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Mailing address
PO Box 1123
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (800) 242-1131
Other practice location 1
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2574
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1011312 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7991
3501 Hwy 190
Eunice, LA 70535-5129
Phone (337) 468-2767
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508-6917
Phone (337) 470-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN107416 | LA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eunice Anesthesiology Group LLC | Current | Accepting new patients | |
| Lafayette Health Ventures, Inc | Current | Accepting new patients | |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Los Anesthesia Services LLC | Current | Accepting new patients | |
| Youngs Professional Services LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients |
Locations
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222
3501 Highway 190
Eunice, LA 70535
Phone (337) 580-7500
2810 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone (337) 593-5423
1211 Coolidge Blvd
Ste 302
Lafayette, LA 70503
Phone (337) 289-8245
4600 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 371-3135
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1000 W Pinhook Rd
Ste 305
Lafayette, LA 70503
Phone (337) 235-1600
1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191
1000 W Pinhook Rd
Lafayette, LA 70503
Phone (337) 289-7311
2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000
4801 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (337) 470-2000
1211 Coolidge Blvd
#302
Lafayette, LA 70503
Phone (337) 289-8245
1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225
Organizations & group practices 8
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.
-
- Anesthesiology Physician
- Eunice, LA
- NPI 1386681278
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Certified Registered Nurse Anesthetist
- New Iberia, LA
- NPI 1922178599
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1508687419
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1841287901
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1598766495
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784678400000",
"number": "1639372105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1123",
"address_2": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "800-242-1131",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1214 COOLIDGE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705032621",
"telephone_number": "337-289-7991"
}
],
"practiceLocations": [
{
"address_1": "4801 Ambassador Caffery Pkwy",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "LA",
"postal_code": "705086917",
"country_code": "US",
"telephone_number": "337-470-2574",
"fax_number": "337-470-2605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PATIN",
"first_name": "NICHOLAS",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-11",
"last_updated": "2026-07-22",
"certification_date": "2026-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN107416",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "AP05254",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1011312",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.