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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: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 a secondary practice location in Bridgeton, 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 UpdateApril 26, 2023
NPPES CertifiedApril 19, 2023
✔ 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
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Secondary Practice Location 1

Location 112277 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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.