Edie Boudreaux LLC
NPI 1457769358 · Multi-Specialty Clinic/Center · New Iberia, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Edie Boudreaux LLC is a Multi-Specialty Clinic/Center organization in New Iberia, LA (NPI 1457769358).
Provider details
- NPI number
- 1457769358
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Edie Boudreaux LLC
- Organization subpart
- Yes
- Authorized official
- Edie Pourciau, Owner/Nurse Practitioner(337) 608-9922
Specialties & taxonomies
Ambulatory Health Care Facilities
- Registered Nurse163W00000X
Nursing Service Providers
- Nursing Care Agency251J00000X
Agencies
- Point of Service305S00000X
Managed Care Organizations
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
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
12 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
Other names (DBA / former)
- Doing business as
- Edie B. Pourciau, NP
Registry dates
- Enumerated
- 2014-07-24
- Last updated
- 2024-09-04
- Certified
- 2024-09-04
Frequently asked questions
- What is Edie Boudreaux LLC's NPI number?
- Edie Boudreaux LLC's National Provider Identifier (NPI) is 1457769358, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edie Boudreaux LLC?
- Edie Boudreaux LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Edie Boudreaux LLC located?
- Edie Boudreaux LLC's practice location on file with NPPES is 124 E Main St Ste 104, New Iberia, LA 70560-3725.
- What is Edie Boudreaux LLC's phone number?
- The practice phone number listed in the NPPES registry for Edie Boudreaux LLC is (337) 608-9922.
- Does Edie Boudreaux LLC accept Medicare?
- Edie Boudreaux LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Edie Boudreaux LLC?
- The authorized official listed on Edie Boudreaux LLC's NPPES record is Edie Pourciau, Owner/Nurse Practitioner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edie Boudreaux LLC's NPI active?
- Yes — Edie Boudreaux LLC's NPI (1457769358) is active in the NPPES registry as of the last update on 2024-09-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.