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DR. DAVID THIBAULT DNP, FNP-BC, PMHS
NPI 1306562541
Nurse Practitioner in St George, UT

Active since October 19, 2022PECOS EnrolledAccepts Medicare Assignment
640 E 700 S STE 205A, ST GEORGE, UT 84770(435) 772-2633 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Jun 22, 2024, Jan 6, 2024 and 3 more (6 updates tracked since 2022).

About Dr. David Thibault Dnp, Fnp-bc, Pmhs NPPES

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

DR. DAVID THIBAULT DNP, FNP-BC, PMHS (NPI 1306562541) is an individual nurse practitioner in St George, Utah, licensed in Utah (11146586-4405) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (2022).

NPPES Registry Identity

NPI1306562541
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDR. DAVID THIBAULTCredential: DNP, FNP-BC, PMHS
Location Address640 E 700 S STE 205ASt George, UT 84770-4023
Mailing Address2779 S 3350 WHurricane, UT 84737-3540 · (435) 772-2633
Phone(435) 772-2633
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2022
Enumeration DateOctober 19, 2022
Last NPPES UpdateNovember 5, 20246 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1306562541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 11146586-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
640 E 700 S STE 205A, St George, UT 84770
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Select Health, University of Utah Health Plans.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

Dr. David Thibault Dnp, Fnp-bc, Pmhs 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 ID2163899683
PECOS Enrollment IDI20221111001987
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84770 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 2

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

BRAIN BODY BALANCE TREATMENT CENTERS
Psychiatry & Neurology (Psychiatry)
640 E 700 S STE 205A
SAINT GEORGE, UT 84770
Washington County (435) 767-8840
SUNIE THOMAS APRN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
640 E 700 S STE 205A
SAINT GEORGE, UT 84770
Washington County (435) 652-1897

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 David Thibault's NPI number?

The NPI number for David Thibault is 1306562541. It was assigned to this individual provider in the NPPES registry on October 19, 2022.

Where is David Thibault located?

David Thibault practices at 640 E 700 S Ste 205A, St George, UT 84770. The listed phone number is (435) 772-2633.

What is David Thibault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is David Thibault enrolled in Medicare?

Yes. David 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 David Thibault accept?

Health plans from Molina Healthcare, Select Health and University of Utah Health Plans list David 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.

When was this NPI record last updated?

The NPPES record for David Thibault was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.