Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GINGER NICHOLE THIBAULT
NPI 1679964019
Nurse Practitioner - Pediatrics in Tacoma, WA

Q: What is Ginger Thibault's NPI number?

The NPI number for Ginger Thibault is 1679964019. It was assigned to this individual provider in the NPPES registry on February 6, 2015. The provider is also known as Ginger Nichole Wells Arnp.

Q: What is Ginger Thibault's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Ginger Thibault was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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 February 06, 2015PECOS Enrolled

9040 JACKSON AVE, TACOMA, WA 98431(253) 968-2464(253) 968-0384 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 16, 2026, Aug 12, 2022, Apr 12, 2022 and 1 more (4 updates tracked since 2019).

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About Ginger Nichole Thibault NPPES

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

GINGER NICHOLE THIBAULT (NPI 1679964019) is an individual pediatrics provider in Tacoma, Washington, licensed in Texas (1232486) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679964019

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameGINGER NICHOLE THIBAULT

Location Address9040 JACKSON AVETacoma, WA 98431-4426

Mailing Address1985 Garry Oaks Ave Unit BDupont, WA 98327-6703 · (405) 905-0212

Phone(253) 968-2464

Fax(253) 968-0384

Sole ProprietorNo

Enumeration DateFebruary 6, 2015

Last NPPES UpdateJuly 16, 20264 updates tracked since enumeration

NPPES CertifiedJuly 16, 2026

✔ NPI 1679964019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LP0200X

Licenses✔ Licensed in TX · 1232486✔ Licensed in WA · AP61333001✔ Licensed in OK · R0077265

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License R0077265 (OK)

9040 JACKSON AVE, Tacoma, WA 98431

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Other Names 1

Former Name (1)Ginger Nichole Wells Arnp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ginger Nichole Thibault is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 98431 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

MICHAEL JOHN MEANS CRNA

Nurse Anesthetist, Certified Registered