Individual provider Active NPI

Todd Joseph Bossier, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1851319602
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN097469AP04275 Issued in LA
Practice address
624 Connell Park LN Ste a
Baton Rouge, LA 70806-6534
Phone
(225) 468-6287
Fax
(225) 251-4502
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 RN097469AP04275 LA Primary

Addresses

Primary practice location

624 Connell Park LN Ste a
Baton Rouge, LA 70806-6534

Mailing address

6304 E Castledale Dr
Greenwell Springs, LA 70739-4206

Other practice location 1

6304 E Castledale Dr
Greenwell Springs, LA 70739-4206
Phone (225) 262-5539

Other identifiers 1

IdentifierTypeStateIssuer
1162671MedicaidLA

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
I20040227000734 LA Practitioner - Nurse Practitioner 5698661379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Mississippi School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayfair Emergency Group, LLCGroup PAC ID 3375808645, 33 clinicians

Practice addresses (Care Compare)

17000 Medical Ctr Dr
Baton Rouge, LA 70816-3246
Phone (225) 752-2470

Merit-based Incentive Payment System (MIPS)

Final score
99.76 of 100Reported as group
Quality
87.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN097469AP04275LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfair Emergency Group, LLC CurrentSince Jun 19, 2018 Accepting new patients
Professional Emergency Physician Associates, LLC Past Accepting new patients

Locations

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870

Organizations & group practices 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1851319602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6304 E CASTLEDALE DR",
            "city": "GREENWELL SPRINGS",
            "state": "LA",
            "postal_code": "707394206",
            "fax_number": "225-251-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 CONNELL PARK LN STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708066534",
            "telephone_number": "225-468-6287",
            "fax_number": "225-251-4502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6304 E Castledale Dr",
            "address_purpose": "LOCATION",
            "city": "Greenwell Springs",
            "state": "LA",
            "postal_code": "707394206",
            "country_code": "US",
            "telephone_number": "225-262-5539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSSIER",
        "first_name": "TODD",
        "middle_name": "JOSEPH",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2025-03-27",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN097469AP04275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1162671",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.