KIMBERLY ERICA BOUDREAUX PA-C
NPI 1356914121
Physician Assistant in New Orleans, LA

Q: What is Kimberly Boudreaux's NPI number?

The NPI number for Kimberly Boudreaux is 1356914121. It was assigned to this individual provider in the NPPES registry on July 20, 2021.

Q: What is Kimberly Boudreaux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since July 20, 2021PECOS EnrolledAccepts Medicare Assignment

1514 JEFFERSON HWY, NEW ORLEANS, LA 70121(504) 842-3460 Get Directions Write a Review

NPPES record last updated: December 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 29, 2022, Dec 9, 2022, Jul 20, 2021 (3 updates tracked since 2021).

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About Kimberly Erica Boudreaux Pa-c NPPES

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

KIMBERLY ERICA BOUDREAUX PA-C (NPI 1356914121) is an individual physician assistant in New Orleans, Louisiana, licensed in Louisiana (333915) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Ochsner Medical Center Acute, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1356914121

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKIMBERLY ERICA BOUDREAUXCredential: PA-C

Location Address1514 JEFFERSON HWYNew Orleans, LA 70121-2429

Mailing Address1514 Jefferson HwyNew Orleans, LA 70121-2429 · (504) 842-4000

Phone(504) 842-3460

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 20, 2021

Last NPPES UpdateDecember 29, 20223 updates tracked since enumeration

NPPES CertifiedDecember 29, 2022

✔ NPI 1356914121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in LA · 333915

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1514 JEFFERSON HWY, New Orleans, LA 70121

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CHRISTUS Health Plan, HMO Louisiana.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

Kimberly Erica Boudreaux Pa-c 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 ID2365812138

PECOS Enrollment IDI20230112001649

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 2

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

50 services50 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

16 services15 patients

Hospital Affiliations CMS Care Compare

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

Ochsner Medical Center Acute

Acute Care Hospitals · New Orleans, LA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190036

Location1516 Jefferson HwyNew Orleans, LA 70121 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70121 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

$86.76 typical visit price

range $55.50 – $170.30

Typical copayment $21.69 (range $13.87 – $42.57)

Most-billed visit code 99203

Established Patient

$69.44 typical visit price

range $17.42 – $138.03

Typical copayment $17.36 (range $4.35 – $34.50)

Most-billed visit code 99213

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 20

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

DR. WALTER JORDAN HOYT JR. M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)