MS. JEAN THIBAULT CRNP, MPH
NPI 1124359021
Nurse Practitioner - Family in Charlotte, NC

Active since January 18, 2010PECOS EnrolledAccepts Medicare Assignment
4525 CAMERON VALLEY PARKWAY, CHARLOTTE, NC 28211(704) 302-8310 Get Directions Write a Review

NPPES record last updated: January 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jean Thibault Crnp, Mph NPPES

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

MS. JEAN THIBAULT CRNP, MPH (NPI 1124359021) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5004969) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1124359021
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JEAN THIBAULTCredential: CRNP, MPH
Location Address4525 CAMERON VALLEY PARKWAYCharlotte, NC 28211-3546
Mailing Address2995 Drew Street, East Bldg 2nd FloorClearwater, FL 33759 · (727) 281-9390 · Fax (813) 635-2613
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 18, 2010
Last NPPES UpdateJanuary 31, 2019
NPI 1124359021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in NC · 5004969 Licensed in AL · 1-104989
4525 CAMERON VALLEY PARKWAY, Charlotte, NC 28211

Other Identifiers 1

Medicaid7004773NC

Accepted 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

Ms. Jean Thibault Crnp, Mph 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 ID42406027
PECOS Enrollment IDI20190228002209
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

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 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.
41 services18 patients

Hospital Affiliations CMS Care Compare

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

St Josephs Hospital

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100075
Location3001 W Martin Luther King Jr BlvdTampa, FL 33677 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28211 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
4525 CAMERON VALLEY PARKWAY, SUITE 300
CHARLOTTE, NC 28211

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 Jean Thibault's NPI number?

The NPI number for Jean Thibault is 1124359021. It was assigned to this individual provider in the NPPES registry on January 18, 2010.

Where is Jean Thibault located?

Jean Thibault practices at 4525 Cameron Valley Parkway, Charlotte, NC 28211. The listed phone number is (704) 302-8310.

What is Jean Thibault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jean Thibault enrolled in Medicare?

Yes. Jean Thibault 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 Jean Thibault accept?

Health plans from Ambetter Health and Ambetter of Alabama list Jean Thibault 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 Jean Thibault affiliated with any hospitals?

According to CMS data, Jean Thibault is affiliated with St Josephs Hospital.

When was this NPI record last updated?

The NPPES record for Jean Thibault was last updated on January 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.