LAURIE A BOUDREAUX PA-C
NPI 1639307085
Physician Assistant in Sylvania, OH

Q: What is Laurie Boudreaux's NPI number?

The NPI number for Laurie Boudreaux is 1639307085. It was assigned to this individual provider in the NPPES registry on June 24, 2009. The provider is also known as Laurie A Arnold Pa-C.

Q: What is Laurie Boudreaux's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Laurie Boudreaux was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 24, 2009PECOS EnrolledAccepts Medicare Assignment

5308 HARROUN RD STE 280, SYLVANIA, OH 43560(567) 585-2080(567) 585-2081 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, Nov 3, 2023, Oct 26, 2023 (3 updates tracked since 2023).

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About Laurie A Boudreaux Pa-c NPPES

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

LAURIE A BOUDREAUX PA-C (NPI 1639307085) is an individual physician assistant in Sylvania, Ohio, licensed in Ohio (50.003687RX) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1639307085

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAURIE A BOUDREAUXCredential: PA-C

Location Address5308 HARROUN RD STE 280Sylvania, OH 43560-2190

Mailing Address5308 Harroun Rd Ste 280Sylvania, OH 43560-2190

Phone(567) 585-2080

Fax(567) 585-2081

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateJune 24, 2009

Last NPPES UpdateMarch 13, 20263 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1639307085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in OH · 50.003687RX✔ Licensed in LA · PA.200277

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.

5308 HARROUN RD STE 280, Sylvania, OH 43560

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Other Names 1

Other Name (5)Laurie A Arnold Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, CareSource, MedMutual and more.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

Laurie A 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 ID6204980626

PECOS Enrollment IDI20130308000312

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.

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43560 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 9

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

MRS. KATHERINE HAY ROMP PA-C

Physician Assistant