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

Mr. Nicholas Ryan Boone, NP

Individual provider Family Nurse Practitioner · NPI 1245725837

Mr. Nicholas Ryan Boone, NP is a Nurse Practitioner in Baton Rouge, Louisiana. Qualified in 2018, 8 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
8
Licensed in
LA
In the registry since
2018
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

5439 Airline Hwy
Baton Rouge, LA 70805-1712
Phone: (225) 358-4853
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1401 N Foster Dr, Baton Rouge, LA 70806-1818 — (225) 987-9084

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence AP09996 (LA)

Record details

NPI number1245725837
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJune 26, 2018
Last updated in NPPESJanuary 18, 2021
Certification dateJanuary 18, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Our Lady Of The Lake Physician Group Llc — 635 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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