ASHLEY MARIE THIBODEAU
NPI 1396275582
Nurse Practitioner in Detroit, MI

Active since June 19, 2017PECOS EnrolledAccepts Medicare Assignment
3950 BEAUBIEN ST, DETROIT, MI 48201(313) 832-9620 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Dec 31, 2024, Jul 13, 2021 and 1 more (4 updates tracked since 2017).

About Ashley Marie Thibodeau NPPES

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

ASHLEY MARIE THIBODEAU (NPI 1396275582) is an individual nurse practitioner in Detroit, Michigan, licensed in Michigan (4704293510) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2017).

NPPES Registry Identity

NPI1396275582
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameASHLEY MARIE THIBODEAU
Location Address3950 BEAUBIEN STDetroit, MI 48201-2166
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Sole ProprietorYes
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2017
Enumeration DateJune 19, 2017
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
NPI 1396275582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704293510
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.
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 4704293510 (MI)
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 4704293510 (MI), AP60810818 (WA)
3950 BEAUBIEN ST, Detroit, MI 48201

Accepted 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

Ashley Marie Thibodeau 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 ID4082973631
PECOS Enrollment IDI20210714001249
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 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 20

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

Nurse Practitioner (Pediatrics)
3950 BEAUBIEN ST
DETROIT, MI 48201
Genetic Counselor, MS
3950 BEAUBIEN ST
DETROIT, MI 48201
Physical Therapist
3950 BEAUBIEN ST
DETROIT, MI 48201
Physical Therapist
3950 BEAUBIEN ST
DETROIT, MI 48201
Genetic Counselor, MS
3950 BEAUBIEN ST
DETROIT, MI 48201
Nurse Practitioner (Pediatrics)
3950 BEAUBIEN ST, GENERAL PEDIATRIC CLINIC, SPECIALTY CENTER
DETROIT, MI 48201
Physical Therapist
3950 BEAUBIEN ST
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3950 BEAUBIEN ST
DETROIT, MI 48201

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 Ashley Thibodeau's NPI number?

The NPI number for Ashley Thibodeau is 1396275582. It was assigned to this individual provider in the NPPES registry on June 19, 2017.

Where is Ashley Thibodeau located?

Ashley Thibodeau practices at 3950 Beaubien St, Detroit, MI 48201. The listed phone number is (313) 832-9620.

What is Ashley Thibodeau's specialty?

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

Is Ashley Thibodeau enrolled in Medicare?

Yes. Ashley Thibodeau 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 Ashley Thibodeau accept?

Health plans from Priority Health list Ashley Thibodeau 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 Ashley Thibodeau was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.