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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PIBI JEAN BOUDA
NPI 1235836982
Nurse Practitioner - Gerontology in Saint Louis, MO

Active since February 13, 2023PECOS EnrolledAccepts Medicare Assignment
3320 MARSHALL AVE, SAINT LOUIS, MO 63114(314) 489-5537 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 27, 2026, Feb 13, 2023 (2 updates tracked since 2023).

About Pibi Jean Bouda NPPES

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

PIBI JEAN BOUDA (NPI 1235836982) is an individual gerontology provider in Saint Louis, Missouri, licensed in Missouri (2023005006) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1235836982
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NamePIBI JEAN BOUDA
Location Address3320 MARSHALL AVESaint Louis, MO 63114-4344
Mailing Address3320 Marshall AveSaint Louis, MO 63114-4344 · (314) 489-5537
Phone(314) 489-5537
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 13, 2023
Last NPPES UpdateSeptember 27, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2026
✔ NPI 1235836982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MO · 2023005006
3320 MARSHALL AVE, Saint Louis, MO 63114
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12215 Broadway StCape Girardeau, MO 63701-4403 · Phone (636) 725-1241 · Fax (573) 534-3131
Location 212277 DePaul Dr., Suite 500Bridgeton, MO 63044 · Phone (314) 291-8824

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Pibi Jean Bouda 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 ID2163896689
PECOS Enrollment IDI20230324000933
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Pibi Bouda reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Vpa PC
6.7 mi
Family Medicine
8710 MANCHESTER RD
Saint Louis, MO 63144
  • Reassigned Medicare billing, Missouri enrollment
  • 61 clinicians in this Medicare group
NPI 1073130142 (314) 961-3570
Py Medical Services Of Mo PC
13 mi
Internal Medicine
10954 KENNERLY RD
Saint Louis, MO 63128
  • Reassigned Medicare billing, Missouri enrollment
  • 5 clinicians in this Medicare group
NPI 1316799042 (314) 843-4242
Missouri Medical Providers LLC
106 mi
Family
2215 BROADWAY ST
Cape Girardeau, MO 63701
  • Reassigned Medicare billing, Missouri enrollment
  • 7 clinicians in this Medicare group
NPI 1043817323 (636) 725-1255
Digestive Health Specialists, LLC
218 mi
Gastroenterology
3800 S WHITNEY AVE, SUITE 200
Independence, MO 64055
  • Reassigned Medicare billing, Missouri enrollment
  • 146 clinicians in this Medicare group
NPI 1801286844 (816) 478-4887
Harmonycares Complete Health Services, PLLC
442 mi
Family Medicine
317 E CAPITOL ST STE 200
Jackson, MS 39201
  • Reassigned Medicare billing, Missouri enrollment
  • 15 clinicians in this Medicare group
NPI 1093543902 (855) 396-9643
Signify Health, LLC
540 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Missouri enrollment
  • 412 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007

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

Areas of Expertise CMS Part B claims 5

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.
333 services290 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients
Measurement of hydrogen in breath to test for stomach and bowel symptoms 91065
This test involves breathing into a bag to measure hydrogen levels in your breath. High levels can indicate issues with food digestion or absorption in your stomach or intestines. It's non-invasive, painless, and helps diagnose certain gastrointestinal conditions.
46 services45 patients
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.
33 services33 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63114 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

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 Pibi Bouda's NPI number?

The NPI number for Pibi Bouda is 1235836982. It was assigned to this individual provider in the NPPES registry on February 13, 2023.

Where is Pibi Bouda located?

Pibi Bouda practices at 3320 Marshall Ave, Saint Louis, MO 63114. The listed phone number is (314) 489-5537.

What is Pibi Bouda's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Pibi Bouda enrolled in Medicare?

Yes. Pibi Bouda 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 Pibi Bouda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pibi Bouda reassigns Medicare benefits to 6 organizations: Vpa PC (Saint Louis, MO), Py Medical Services Of Mo PC (Saint Louis, MO), Missouri Medical Providers LLC (Cape Girardeau, MO), Digestive Health Specialists, LLC (Independence, MO), Harmonycares Complete Health Services, PLLC (Jackson, MS) and 1 more organization, listed in the Medicare section above. 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 Pibi Bouda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pibi Bouda accept?

Health plans from Oscar Insurance Company list Pibi Bouda 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.

When was this NPI record last updated?

The NPPES record for Pibi Bouda was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.