Active NPI
Mark Jude Gaudet, NP
- Family Nurse Practitioner
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 237033
- Practice address
- 17000 Medical Center Dr
Baton Rouge, LA 70816-3246 - Phone
- (225) 755-4396
- Fax
- (225) 755-4998
- NPI assigned
- Aug 6, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 237033 | LA | Primary |
Addresses
Primary practice location
17000 Medical Center Dr
Baton Rouge, LA 70816-3246
Mailing address
2223 Quail Run Ste A2
Baton Rouge, LA 70808-9063
Phone (225) 454-9566
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
Enrollment records 1
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)
1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374
4212 W Congress St
Lafayette, LA 70506-6765
Hospital & facility affiliations
- Ochsner Lafayette General Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 237033 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | Accepting new patients | |
| Mayfair Physician Services, LLC | Nurse Practitioner | Current | Accepting new patients |
| Lafayette Health Ventures, Inc | Current | Accepting new patients |
Locations
17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470
210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178
4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201
1211 Coolidge Blvd
Ste 404
Lafayette, LA 70503
Phone (337) 247-9715
200 Corporate Blvd
Lafayette, LA 70508
25455 Highway 1
Plaquemine, LA 70764
Phone (225) 754-6870
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Hospitalist Physician
- Baton Rouge, LA
- NPI 1831688365
Nurse Practitioner
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1972333706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2223 QUAIL RUN STE A2",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708089063",
"telephone_number": "225-454-9566",
"fax_number": "225-416-6059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 MEDICAL CENTER DR",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708163246",
"telephone_number": "225-755-4396",
"fax_number": "225-755-4998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAUDET",
"first_name": "MARK",
"middle_name": "JUDE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-06",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "237033",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.