Ericka Lafleur Broussard, NP
Individual provider Active NPI Adult Health Nurse Practitioner · Lafayette, LA
NPI 1962688077 · NPPES record last updated Aug 24, 2026
Key facts
- NPI
- 1962688077
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- AP05431 (LA)
- Practice address
- 4640 Amb Caffery Pkwy BLDG B
Lafayette, LA 70508-6902 - Phone
- (337) 984-1050
- Fax
- (337) 984-8776
- NPI assigned
- Jan 18, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acadiana Women'S Health Group, Apmc
Practice addresses (Care Compare)
4016 Hwy 90 E
Suite 112
Broussard, LA 70518-3548
Phone (337) 761-0727
4640 Ambassador Caffery Pkwy
Lafayette, LA 70508-6902
Phone (337) 984-1050
Hospital & facility affiliations
- Our Lady of Lourdes Regional Medical Center, Inc
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080513000042 | LA | Practitioner - Nurse Practitioner | 9739258021 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP05431 | LA | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Broussard Mental Health and Wellness Clinic LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Willow Total Health LLC | Current |
Accepting new patients | |
| Acadiana Women'S Health Group, Apmc | Current |
Accepting new patients | |
| Breigh L Foster MD LLC | Past | Accepting new patients | |
| Apex Prevention, LLC | Adult Health | Past |
Accepting new patients |
Locations
4016 Highway 90 E
Ste 112
Broussard, LA 70518
Phone (337) 761-0727
4640 Ambassador Caffery Pkwy
Bldg B
Lafayette, LA 70508
Phone (337) 984-1050
4640 Ambassador Caffery Pkwy
Lafayette, LA 70508
Phone (318) 984-1050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP05431 | LA | Yes |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP05431 | LA |
Addresses
Primary practice location
4640 Amb Caffery Pkwy BLDG B
Lafayette, LA 70508-6902
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (337) 984-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1037621 | Medicaid | LA |
Other providers in Lafayette, LA
- Danielle Marie Broussard
- Danner Jung Broussard
- David L Broussard
- Djenaba Broussard
- Edward James Broussard Jr.
- Evan J Broussard
- Greg A Broussard
- Hannah Broussard
- Jamie Ryan Broussard II
- Jessica Broussard
All providers in Lafayette, LA · Adult Health Nurse Practitioner in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.