Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keiffer Bengie Wyble, AGACNP

Individual provider Nurse Practitioner · NPI 1083067144

Keiffer Bengie Wyble, AGACNP is a Nurse Practitioner in Lafayette, Louisiana. Qualified in 2016, 10 years ago. Practices with Coolidge Physician Services LLC, a 51-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
10
Licensed in
LA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

2730 Ambassador Caffery Pkwy
Lafayette, LA 70506
Phone: (337) 988-1585
Fax: (337) 981-4694
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 300 W Saint Mary Blvd, Lafayette, LA 70506-4638 — (337) 233-6593
  • 4801 Ambassador Caffery Pkwy, Lafayette, LA 70508-6917 — (305) 322-5100

Specialties & licences

Rehabilitation Clinical Nurse Specialist (primary) Taxonomy 364SR0400X · Licence AP09352 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP09352 (LA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AP09352 (LA)

Record details

NPI number1083067144
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Coolidge Physician Services Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lafayette