Individual provider Active NPI

Mark Jude Gaudet, NP

  • Family Nurse Practitioner
  • Baton Rouge, LA
National Provider Identifier
1972333706
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
237033 Issued in LA
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

Updated by the provider on Aug 6, 2024

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241116000415 LA Practitioner - Nurse Practitioner 2163956889 Reassigns benefits to 2 organizations

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
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

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 Hospital, Lafayette, LA, CCN 190002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237033LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Dec 15, 2025 Accepting new patients
Mayfair Physician Services, LLC Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Lafayette Health Ventures, Inc CurrentSince Dec 15, 2025 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.