MS. KRISTI MCDONALD BOUDREAUX NP-C
NPI 1669814513
Nurse Practitioner - Family in Mocksville, NC

Q: What is Kristi Boudreaux's NPI number?

The NPI number for Kristi Boudreaux is 1669814513. It was assigned to this individual provider in the NPPES registry on July 20, 2013.

Q: What is Kristi Boudreaux's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kristi Boudreaux was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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 July 20, 2013PECOS EnrolledAccepts Medicare Assignment

154 GOVERNMENT CENTER DR, MOCKSVILLE, NC 27028(336) 477-2233(336) 450-1744 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2023, Feb 22, 2019 (2 updates tracked since 2019).

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About Ms. Kristi Mcdonald Boudreaux Np-c NPPES

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

MS. KRISTI MCDONALD BOUDREAUX NP-C (NPI 1669814513) is an individual family provider in Mocksville, North Carolina, licensed in North Carolina (5018585) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1669814513

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMS. KRISTI MCDONALD BOUDREAUXCredential: NP-C

Location Address154 GOVERNMENT CENTER DRMocksville, NC 27028-6299

Mailing Address200 E 2nd AveGastonia, NC 28052-4358 · (704) 874-1936 · Fax (704) 865-4614

Phone(336) 477-2233

Fax(336) 450-1744

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 20, 2013

Last NPPES UpdateAugust 7, 20232 updates tracked since enumeration

NPPES CertifiedAugust 7, 2023

✔ NPI 1669814513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in NC · 5018585✔ Licensed in LA · AP07307

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AP07307 (LA)

154 GOVERNMENT CENTER DR, Mocksville, NC 27028

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, HMO Louisiana, Oscar Health Plan of North Carolina, Inc 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

Ms. Kristi Mcdonald Boudreaux Np-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 ID1355566159

PECOS Enrollment IDI20140711001147, I20240216003987

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.

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340039

Location557 Brookdale DrStatesville, NC 28677 · Iredell County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27028 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers15 claims20 services$5.93 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

DAVIE COUNTY HEALTH DEPARTMENT

Pharmacy (Clinic Pharmacy)