THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION
NPI 1396162269
Family Medicine in Paincourtville, LA
About Thibodaux Regional Network Development Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION (NPI 1396162269), doing business as Thibodaux Regional Family Medicine Clinic - Paincourtville, is a healthcare organization registered as a family medicine in Paincourtville, Louisiana and active in the NPI registry since March 2014. The organization maintains a secondary practice location in Pierre Part and lists Kim Legendre Boudreaux, Director Of Contractings, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Thibodaux Regional Network Development Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
179Medicare enrollment records show 179 clinicians reassign Medicare billing to Thibodaux Regional Network Development Corporation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 30
Nearest to this location (20)
See all 179Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Thibodaux Regional Network Development Corporation's NPI number?
The NPI number for Thibodaux Regional Network Development Corporation is 1396162269. It was assigned to this organization in the NPPES registry on March 27, 2014. The provider is doing business as Thibodaux Regional Family Medicine Clinic - Paincourtville.
Where is Thibodaux Regional Network Development Corporation located?
Thibodaux Regional Network Development Corporation is located at 114 Hwy 403, Paincourtville, LA 70391. The listed phone number is (985) 369-6070.
What is Thibodaux Regional Network Development Corporation's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Thibodaux Regional Network Development Corporation enrolled in Medicare?
Yes. Thibodaux Regional Network Development Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Thibodaux Regional Network Development Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 179 clinicians in 30 Medicare specialties reassign their Medicare billing to Thibodaux Regional Network Development Corporation. A 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 the clinician's services. The largest specialties are Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32) and Obstetrics/Gynecology (15). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Thibodaux Regional Network Development Corporation accept?
Health plans from Blue Cross and Blue Shield of Louisiana and HMO Louisiana list Thibodaux Regional Network Development Corporation 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 Thibodaux Regional Network Development Corporation was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Thibodaux Regional Network Development Corporation · NPI 1396162269
Family Medicine organization in Paincourtville, Louisiana. Organization record, active in the CMS NPPES registry since March 27, 2014.
## Identity
- **NPI:** 1396162269 (Entity type: Organization)
- **Enumerated:** March 27, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Thibodaux Regional Family Medicine Clinic - Paincourtville (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kim Boudreaux, DIRECTOR OF CONTRACTINGS
## Practice location
- **Address:** 114 HWY 403, Paincourtville, LA 70391-0300
- **Phone:** (985) 369-6070 · **Fax:** (985) 369-3514
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 179 clinicians in 30 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (36), Certified Registered Nurse Anesthetist (CRNA) (32), Obstetrics/Gynecology (15); 4 practice at this address and 5 within 10 miles; [full list](https://npiprofile.com/npi/1396162269/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2025
- **Other identifiers:** Other CN8396 (LA); Medicaid 2368311 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1396162269) · Data from the CMS NPPES public registry.