LASES PEARL THIBODEAU APRN
NPI 1447004841
Nurse Practitioner - Family in Lebanon, NH

Active since April 15, 2024PECOS EnrolledAccepts Medicare Assignment
10 ALICE PECK DAY DR # 03766290, LEBANON, NH 03766(603) 448-3121 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 5, 2024, Apr 15, 2024 (2 updates tracked since 2024).

About Lases Pearl Thibodeau Aprn NPPES

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

LASES PEARL THIBODEAU APRN (NPI 1447004841) is an individual family provider in Lebanon, New Hampshire, licensed in New Hampshire (078246-23) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains a secondary practice location in Lebanon.

NPPES Registry Identity

NPI1447004841
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLASES PEARL THIBODEAUCredential: APRN
Location Address10 ALICE PECK DAY DR # 03766290Lebanon, NH 03766-2900
Mailing Address20 Wolf Rd Apt C56Lebanon, NH 03766-1916
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 15, 2024
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1447004841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NH · 078246-23
10 ALICE PECK DAY DR # 03766290, Lebanon, NH 03766

Secondary Practice Location 1

Location 120 Wolf Rd Apt C56Lebanon, NH 03766-1916 · Phone (603) 359-6609

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lases Pearl Thibodeau Aprn 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 ID5890229868
PECOS Enrollment IDI20241113002498, I20260608002074
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lases Thibodeau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
10 ALICE PECK DAY DR
Lebanon, NH 03766
  • Reassigned Medicare billing, New Hampshire enrollment
  • 283 clinicians in this Medicare group
General Acute Care Hospital
17 BELMONT AVE
Brattleboro, VT 05301
  • Reassigned Medicare billing, Vermont enrollment
  • 101 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 4

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Brattleboro Memorial Hospital

Acute Care Hospitals · Brattleboro, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470011
Location17 Belmont AveBrattleboro, VT 05301 · Windham County
Emergency services Birthing friendly

Mt Ascutney Hospital

Critical Access Hospitals · Windsor, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471302
Location289 County RoadWindsor, VT 05089 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03766 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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 Lases Thibodeau's NPI number?

The NPI number for Lases Thibodeau is 1447004841. It was assigned to this individual provider in the NPPES registry on April 15, 2024.

Where is Lases Thibodeau located?

Lases Thibodeau practices at 10 Alice Peck Day Dr # 03766290, Lebanon, NH 03766. The listed phone number is (603) 448-3121.

What is Lases Thibodeau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lases Thibodeau enrolled in Medicare?

Yes. Lases 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.

Which organizations bill Medicare for Lases Thibodeau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lases Thibodeau reassigns Medicare benefits to 2 organizations: Alice Peck Day Memorial Hospital (Lebanon, NH) and Brattleboro Memorial Hospital (Brattleboro, VT). Each 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 Lases Thibodeau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lases Thibodeau accept?

Health plans from Anthem Blue Cross and Blue Shield and Taro Health list Lases 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.

Is Lases Thibodeau affiliated with any hospitals?

According to CMS data, Lases Thibodeau is affiliated with Mary Hitchcock Memorial Hospital, Alice Peck Day Memorial Hospital, Brattleboro Memorial Hospital and Mt Ascutney Hospital.

When was this NPI record last updated?

The NPPES record for Lases Thibodeau 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 23 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.