STACEY W. BOUDOIN NP
NPI 1861459794
Nurse Practitioner - Psychiatric/Mental Health in Mandeville, LA

Q: What is Stacey Boudoin's NPI number?

The NPI number for Stacey Boudoin is 1861459794. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Q: What is Stacey Boudoin's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacey Boudoin was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 April 26, 2006PECOS Enrolled

635 LAFITTE ST STE B, MANDEVILLE, LA 70448(985) 624-5305(985) 624-8643 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 7, 2017, Feb 10, 2016 (3 updates tracked since 2016).

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About Stacey W. Boudoin Np NPPES

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

STACEY W. BOUDOIN NP (NPI 1861459794) is an individual psychiatric/mental health provider in Mandeville, Louisiana, licensed in Louisiana (RN072251) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861459794

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTACEY W. BOUDOINCredential: NP

Location Address635 LAFITTE ST STE BMandeville, LA 70448-5269

Mailing Address635 Lafitte St, Ste BMandeville, LA 70448-5269 · (985) 624-5305

Phone(985) 624-5305

Fax(985) 624-8643

Sole ProprietorYes

Enumeration DateApril 26, 2006

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1861459794 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 · RN072251

635 LAFITTE ST STE B, Mandeville, LA 70448

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Other Identifiers 2

Medicaid1468584LA

Medicaid04002873MS

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, HMO Louisiana, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey W. Boudoin Np 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 70448 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

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

DR. ROGER TIMOTHY BROWN MD

Psychiatry & Neurology (Psychiatry)

635 LAFITTE ST STE B
MANDEVILLE, LA 70448

St. Tammany Parish (985) 624-5305

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 Stacey Boudoin's NPI number?

The NPI number for Stacey Boudoin is 1861459794. It was assigned to this individual provider in the NPPES registry on April 26, 2006.

Where is Stacey Boudoin located?

Stacey Boudoin practices at 635 Lafitte St Ste B, Mandeville, LA 70448. The listed phone number is (985) 624-5305.

What is Stacey Boudoin's specialty?

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

Is Stacey Boudoin enrolled in Medicare?

Yes. Stacey Boudoin is registered in the Medicare PECOS enrollment system.

What insurance does Stacey Boudoin accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and Providence Health Plan list Stacey Boudoin 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 Stacey Boudoin was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.