Individual provider Active NPI

Krysten Hymel Perque, FNP

  • Family Nurse Practitioner
  • Thibodaux, LA
National Provider Identifier
1992048011
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP07204 Issued in LA
Practice address
905 Canal Blvd
Thibodaux, LA 70301-4505
Phone
(985) 492-9100
Fax
(985) 492-9102
NPI assigned
Mar 27, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 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 AP07204 LA Primary

Addresses

Primary practice location

905 Canal Blvd
Thibodaux, LA 70301-4505

Mailing address

905 Canal Blvd
Thibodaux, LA 70301-4505
Phone (985) 492-9100

Other identifiers 1

IdentifierTypeStateIssuer
2339494MedicaidLA

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
I20130723000777 LA Practitioner - Nurse Practitioner 1850532599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

905 Canal Blvd
Thibodaux, LA 70301-4505
Phone (985) 492-9100

Hospital & facility affiliations

  • Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP07204LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Prevention Plus of Thibodaux LLC CurrentSince Jan 4, 2016 Accepting new patients

Locations

905 Canal Blvd
Thibodaux, LA 70301
Phone (985) 447-7670

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1992048011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014505",
            "telephone_number": "985-492-9100",
            "fax_number": "985-492-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 CANAL BLVD",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014505",
            "telephone_number": "985-492-9100",
            "fax_number": "985-492-9102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERQUE",
        "first_name": "KRYSTEN",
        "middle_name": "HYMEL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP07204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2339494",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thibodaux, LA

Sources for this page

Verify at the official NPI Registry.