NICHOLE R THIBODEAUX PA-C
NPI 1083010052
Physician Assistant - Medical in Houston, TX

Q: What is Nichole Thibodeaux's NPI number?

The NPI number for Nichole Thibodeaux is 1083010052. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Q: What is Nichole Thibodeaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since November 18, 2014PECOS EnrolledAccepts Medicare Assignment

1900 NORTH LOOP W STE 580, HOUSTON, TX 77018(713) 714-5376 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2020, Mar 17, 2018, Sep 22, 2017 (3 updates tracked since 2017).

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About Nichole R Thibodeaux Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICHOLE R THIBODEAUX PA-C (NPI 1083010052) is an individual medical provider in Houston, Texas, licensed in Texas (PA13619) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1083010052

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameNICHOLE R THIBODEAUXCredential: PA-C

Location Address1900 NORTH LOOP W STE 580Houston, TX 77018-8163

Mailing Address1900 North Loop W Ste 580Houston, TX 77018-8163 · (713) 714-5376

Phone(713) 714-5376

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 18, 2014

Last NPPES UpdateSeptember 9, 20203 updates tracked since enumeration

NPPES CertifiedSeptember 9, 2020

✔ NPI 1083010052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

Licenses✔ Licensed in TX · PA13619✔ Licensed in CO · PA.0003820

1900 NORTH LOOP W STE 580, Houston, TX 77018

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Secondary Practice Locations 2

Location 18565 Poplar WayHighlands Ranch, CO 80130-3602 · Phone (720) 348-2800

Location 211960 Lioness Way Ste 210Parker, CO 80134-5644 · Phone (303) 695-6106

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nichole R Thibodeaux Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335464593

PECOS Enrollment IDI20201013000271

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

29 services20 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

20 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HALIE P SHAH MD

Internal Medicine

1900 NORTH LOOP W STE 580
HOUSTON, TX 77018

Harris County (713) 714-5376

AILIS ROOSE PA-C

Physician Assistant (Medical)

1900 NORTH LOOP W STE 580
HOUSTON, TX 77018

Harris County (713) 714-5376

JACLYN HERFARTH HARRISON MD

Internal Medicine

1900 NORTH LOOP W STE 580
HOUSTON, TX 77018

Harris County (713) 714-5376

ANUHYA MANNE PA-C

Physician Assistant (Medical)

1900 NORTH LOOP W STE 580
HOUSTON, TX 77018

Harris County (713) 714-5376

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nichole Thibodeaux's NPI number?

The NPI number for Nichole Thibodeaux is 1083010052. It was assigned to this individual provider in the NPPES registry on November 18, 2014.

Where is Nichole Thibodeaux located?

Nichole Thibodeaux practices at 1900 North Loop W Ste 580, Houston, TX 77018. The listed phone number is (713) 714-5376.

What is Nichole Thibodeaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nichole Thibodeaux enrolled in Medicare?

Yes. Nichole Thibodeaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nichole Thibodeaux accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 7 other insurers list Nichole Thibodeaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nichole Thibodeaux affiliated with any hospitals?

According to CMS data, Nichole Thibodeaux is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Nichole Thibodeaux was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.