Individual provider Active NPI

Erick C Puissegur, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lafayette, LA
National Provider Identifier
1659265353
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
241384 Issued in LA
Practice address
302 Dulles Dr
Lafayette, LA 70506-3008
Phone
(337) 262-4190
Fax
(337) 262-1146
NPI assigned
Jun 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 241384 LA Primary

Addresses

Primary practice location

302 Dulles Dr
Lafayette, LA 70506-3008

Mailing address

4400 Ambassador Caffery Pkwy Ste a
Lafayette, LA 70508-6760
Phone (337) 262-4100

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
I20250911002427 LA Practitioner - Nurse Practitioner 9537662069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

302 Dulles Dr
Lafayette, LA 70506-3008
Phone (337) 262-4109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
241384LAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acadiana Area Human Services District CurrentSince Jul 7, 2025 Accepting new patients
Acadiana Area Human Services District CurrentSince Jul 7, 2025 Accepting new patients
Acadiana Area Human Services District Past Accepting new patients
Acadiana Area Human Services District Past Accepting new patients
Acadiana Area Human Services District Past Accepting new patients

Locations

1822 W 2nd St
Crowley, LA 70526
Phone (337) 788-7511

302 Dulles Dr
Lafayette, LA 70506
Phone (337) 262-4100

611 W Admiral Doyle Dr
New Iberia, LA 70560
Phone (337) 373-0002

220 S Market St
Opelousas, LA 70570
Phone (337) 948-0226

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/aahsd/r4/

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1749168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1659265353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 AMBASSADOR CAFFERY PKWY STE A",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705086760",
            "telephone_number": "337-262-4100",
            "fax_number": "337-262-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 DULLES DR",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705063008",
            "telephone_number": "337-262-4190",
            "fax_number": "337-262-1146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUISSEGUR",
        "first_name": "ERICK",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-06-06",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "LA",
            "license": "241384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.