Individual provider Active NPI

Trace M Juneau, CRNA

  • Certified Registered Nurse Anesthetist
  • Thibodaux, LA
National Provider Identifier
1841801545
Registry record updated Jun 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
230430 Issued in LA
Practice address
201 Mable St
Thibodaux, LA 70301-4013
Phone
(985) 859-0884
NPI assigned
Aug 14, 2020
Last updated
Jun 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 230430 LA Primary

Addresses

Primary practice location

201 Mable St
Thibodaux, LA 70301-4013

Mailing address

201 Mable St
Thibodaux, LA 70301-4013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230630001248 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2062871551 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Associates of Bayou Region LLCGroup PAC ID 7416357934, 22 clinicians
Physician Practice PartnersGroup PAC ID 4183909740, 80 clinicians

Practice addresses (Care Compare)

105 Saint Bernard St
Thibodaux, LA 70301-6549
Phone (985) 447-7246

402 Dunn St
Houma, LA 70360-4704
Phone (985) 872-1661

602 N Acadia Rd
Thibodaux, LA 70301-4823
Phone (985) 493-4750

8120 Main St
Houma, LA 70360-3403

8166 Main St
Houma, LA 70360-3404
Phone (985) 873-4751

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.55 of 100Reported as group
Quality
67.62
Promoting interoperability
100
Improvement activities
40
Cost
71.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
230430LAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Thibodaux Laser and Surgery Center, LLC CurrentSince Mar 14, 2024 Accepting new patients
Thibodaux Laser and Surgery Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 14, 2024 Accepting new patients
Thibodaux Regional Network Development Corporation Current Accepting new patients
Physician Practice Partners Nurse Anesthetist, Certified Registered CurrentSince Jan 5, 2026 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Oct 1, 2025 Accepting new patients
South Louisiana Medical Associates CurrentSince Sep 10, 2025 Accepting new patients
Thibodaux Regional Network Development Corporation CurrentSince Oct 1, 2025 Accepting new patients
Zephyr Anesthesia, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 15, 2024 Accepting new patients
South Louisiana Medical Associates Nurse Anesthetist, Certified Registered CurrentSince Sep 10, 2025 Accepting new patients
Thibodaux Regional Network Development Corporation Past Accepting new patients

Locations

1990 Industrial Blvd
Houma, LA 70363
Phone (985) 868-9300

402 Dunn St
Houma, LA 70360
Phone (985) 872-1661

8120 Main St
Ste 203
Houma, LA 70360
Phone (985) 868-9960

8166 Main St
Houma, LA 70360
Phone (800) 456-9121

694 Belle Terre Blvd
La Place, LA 70068
Phone (985) 359-6694

2701 Napoleon Ave
New Orleans, LA 70115
Phone (504) 267-2805

602 N Acadia Rd
Thibodaux, LA 70301
Phone (985) 493-4544

604 N Acadia Rd
Ste 300
Thibodaux, LA 70301
Phone (985) 438-1088

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1597363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686096000000",
    "number": "1841801545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 MABLE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 MABLE ST",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014013",
            "telephone_number": "985-859-0884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNEAU",
        "first_name": "TRACE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-14",
        "last_updated": "2023-06-07",
        "certification_date": "2023-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "230430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; 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.

Verify at the official NPI Registry.