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KALEB M THIBODEAUX PMHNP
NPI 1508664293
Nurse Practitioner - Psychiatric/Mental Health in Port Allen, LA

Active since March 06, 2025PECOS EnrolledAccepts Medicare Assignment
203 ALLENDALE DR, PORT ALLEN, LA 70767(225) 389-1311(225) 389-1330 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kaleb M Thibodeaux Pmhnp NPPES

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

KALEB M THIBODEAUX PMHNP (NPI 1508664293) is an individual psychiatric/mental health provider in Port Allen, Louisiana, licensed in Louisiana (239936) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508664293
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameKALEB M THIBODEAUXCredential: PMHNP
Location Address203 ALLENDALE DRPort Allen, LA 70767-3219
Mailing AddressPo Box 395Clinton, LA 70722-0395 · (225) 683-5292
Phone(225) 389-1311
Fax(225) 389-1330
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1508664293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in LA · 239936
203 ALLENDALE DR, Port Allen, LA 70767
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.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

Kaleb M Thibodeaux Pmhnp 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 ID8729503768
PECOS Enrollment IDI20250422003021
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 Reassignment

Medicare enrollment records show Kaleb Thibodeaux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Providers For A Healthy Feliciana, Inc
Same address
Federally Qualified Health Center (FQHC)
203 ALLENDALE DR
Port Allen, LA 70767
  • Reassigned Medicare billing, Louisiana enrollment
  • 103 clinicians in this Medicare group
NPI 1770760902 (225) 389-1311

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70767 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 18

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

STELLA E BROWN LCSW, BCSAC
Social Worker (Clinical)
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 683-5292
DR. ELIZABETH H. GUERRERO D.D.S.
Dentist (General Practice)
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311
JENNIFER A HARDEN RN
Registered Nurse
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311
MR. MATTHEW FULLER IRBY RN
Registered Nurse
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311
LINDSEY RAE SCHEXNAYDER LCSW
Social Worker (Clinical)
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311
KRISTA MARIE MILLER RN
Registered Nurse
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311
KATINA NELSON
Registered Nurse
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311
MRS. ROBYN KEEGAN GILMORE LCSW
Social Worker (Clinical)
203 ALLENDALE DR
PORT ALLEN, LA 70767
West Baton Rouge Parish (225) 389-1311

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 Kaleb Thibodeaux's NPI number?

The NPI number for Kaleb Thibodeaux is 1508664293. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Kaleb Thibodeaux located?

Kaleb Thibodeaux practices at 203 Allendale Dr, Port Allen, LA 70767. The listed phone number is (225) 389-1311.

What is Kaleb Thibodeaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kaleb Thibodeaux enrolled in Medicare?

Yes. Kaleb Thibodeaux 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 organization bills Medicare for Kaleb Thibodeaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaleb Thibodeaux reassigns Medicare benefits to Primary Care Providers For A Healthy Feliciana, Inc (Port Allen, LA). The 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 Kaleb Thibodeaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaleb Thibodeaux accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and HMO Louisiana list Kaleb Thibodeaux 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 Kaleb Thibodeaux was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.