Laksamana Nusantara, NP
NPI 1205610607 · Primary Care Nurse Practitioner · Lafayette, LA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laksamana Nusantara, NP is a Primary Care Nurse Practitioner provider in Lafayette, LA (NPI 1205610607).
Provider details
- NPI number
- 1205610607
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- 11027192 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
2 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
1 documented practice location
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$237 across 7 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-08-24
- Last updated
- 2025-10-23
- Certified
- 2025-10-23
Frequently asked questions
- What is Laksamana Nusantara's NPI number?
- Laksamana Nusantara's National Provider Identifier (NPI) is 1205610607, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laksamana Nusantara's specialty?
- Laksamana Nusantara is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Laksamana Nusantara located?
- Laksamana Nusantara's practice location on file with NPPES is 401 Youngsville Hwy Ste 100, Lafayette, LA 70508-5173.
- What is Laksamana Nusantara's phone number?
- The practice phone number listed in the NPPES registry for Laksamana Nusantara is (337) 451-0663.
- Does Laksamana Nusantara accept Medicare?
- Laksamana Nusantara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laksamana Nusantara's NPI active?
- Yes — Laksamana Nusantara's NPI (1205610607) is active in the NPPES registry as of the last update on 2025-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.