Mandy Broussard, CRNA
NPI 1124317565 · Certified Registered Nurse Anesthetist · Metairie, LA
Enrolled with Medicare as Practitioner - Certified Registered Nurse Anesthetist (crna) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mandy Broussard, CRNA is a Certified Registered Nurse Anesthetist provider in Metairie, LA (NPI 1124317565).
Provider details
- NPI number
- 1124317565
- Entity type
- Individual
- Primary specialty
- Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- License
- RN108582 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-04-06
- Last updated
- 2011-04-06
Frequently asked questions
- What is Mandy Broussard's NPI number?
- Mandy Broussard's National Provider Identifier (NPI) is 1124317565, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mandy Broussard's specialty?
- Mandy Broussard is listed in the NPPES registry with a primary specialty of Certified Registered Nurse Anesthetist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Mandy Broussard located?
- Mandy Broussard's practice location on file with NPPES is 3510 N Causeway Blvd, Metairie, LA 70002-3531.
- What is Mandy Broussard's phone number?
- The practice phone number listed in the NPPES registry for Mandy Broussard is (504) 779-5515.
- Does Mandy Broussard accept Medicare?
- Mandy Broussard is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mandy Broussard's NPI active?
- Yes — Mandy Broussard's NPI (1124317565) is active in the NPPES registry as of the last update on 2011-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.