MS. ARIELLE BOUDREAUX AA
NPI 1184398893
Anesthesiologist Assistant in Saint Louis, MO

Active since August 05, 2021Accepts Medicare Assignment
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(636) 386-9224(636) 386-7679 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 18, 2024, Aug 5, 2021 (2 updates tracked since 2021).

About Ms. Arielle Boudreaux Aa NPPES

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

MS. ARIELLE BOUDREAUX AA (NPI 1184398893) is an individual anesthesiologist assistant in Saint Louis, Missouri, licensed in Florida (AA963) and active in the NPI registry since August 2021. She is affiliated with Christus St Vincent Regional Medical Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1184398893
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameMS. ARIELLE BOUDREAUXCredential: AA
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address339 Consort DrBallwin, MO 63011-4439 · (636) 386-9224 · Fax (636) 200-4243
Fax(636) 386-7679
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 5, 2021
Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1184398893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
License✔ Licensed in FL · AA963
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
615 S NEW BALLAS RD, Saint Louis, MO 63141

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Arielle Boudreaux Aa 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 ID941608152
PECOS Enrollment IDI20250306000981

Medicare Billing Reassignments

3

Medicare enrollment records show Arielle Boudreaux reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
615 S NEW BALLAS RD, DEPT. OF ANESTHESIA
Saint Louis, MO 63141
  • Reassigned Medicare billing, Missouri enrollment
  • 309 clinicians in this Medicare group
Anesthesiology
28 N PALAFOX ST
Pensacola, FL 32502
  • Reassigned Medicare billing, Florida enrollment
  • 768 clinicians in this Medicare group
Surgery
1213 GUSDORF ROAD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Christus St Vincent Regional Medical Center

Acute Care Hospitals · Santa Fe, NM
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number320002
Location455 St Michael's DriveSanta Fe, NM 87505 · Santa Fe County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
Dentist
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141

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 Arielle Boudreaux's NPI number?

The NPI number for Arielle Boudreaux is 1184398893. It was assigned to this individual provider in the NPPES registry on August 5, 2021.

Where is Arielle Boudreaux located?

Arielle Boudreaux practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (636) 386-9224.

What is Arielle Boudreaux's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Is Arielle Boudreaux enrolled in Medicare?

Yes. Arielle Boudreaux 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.

Which organizations bill Medicare for Arielle Boudreaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arielle Boudreaux reassigns Medicare benefits to 3 organizations: Western Anesthesiology Associates, Inc. (Saint Louis, MO), Ams National LLC (Pensacola, FL) and St. Vincent Hospital (Taos, NM). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arielle Boudreaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arielle Boudreaux accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Arielle Boudreaux 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 Arielle Boudreaux affiliated with any hospitals?

According to CMS data, Arielle Boudreaux is affiliated with Christus St Vincent Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Arielle Boudreaux was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.