MR. COLBY RYAN THIBODEAUX FNP
NPI 1912539115
Nurse Practitioner - Family in Lake Charles, LA

Q: What is Colby Thibodeaux's NPI number?

The NPI number for Colby Thibodeaux is 1912539115. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Q: What is Colby Thibodeaux'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 Colby Thibodeaux was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 February 06, 2020PECOS Enrolled

4345 NELSON RD STE 101, LAKE CHARLES, LA 70605(337) 480-7942(337) 480-7964 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 28, 2022, Feb 9, 2022, Aug 23, 2021 and 1 more (4 updates tracked since 2020).

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About Mr. Colby Ryan Thibodeaux Fnp NPPES

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

MR. COLBY RYAN THIBODEAUX FNP (NPI 1912539115) is an individual family provider in Lake Charles, Louisiana, licensed in Louisiana (211814) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912539115

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. COLBY RYAN THIBODEAUXCredential: FNP

Location Address4345 NELSON RD STE 101Lake Charles, LA 70605-4183

Mailing AddressPo Box 122165 Dept 2165Dallas, TX 75312-2162 · (337) 494-2921 · Fax (337) 494-6523

Phone(337) 480-7942

Fax(337) 480-7964

Sole ProprietorNo

Enumeration DateFebruary 6, 2020

Last NPPES UpdateApril 28, 20224 updates tracked since enumeration

NPPES CertifiedApril 28, 2022

✔ NPI 1912539115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LF0000X

License✔ Licensed in LA · 211814

4345 NELSON RD STE 101, Lake Charles, LA 70605

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Other Identifiers 1

Medicaid2571796LA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Colby Ryan Thibodeaux Fnp 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.

Medicare Billing Reassignments

Medicare enrollment records show Colby Thibodeaux reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Calcasieu Urgent Care LLC

1.0 mi

Urgent Care

2640 COUNTRY CLUB RD, SUITE 400
Lake Charles, LA 70605

Reassigned Medicare billing, Louisiana enrollment
314 clinicians in this Medicare group

NPI 1467715490 (931) 253-1110

Upperline Healthcare, PC

439 mi

Foot & Ankle Surgery

2116 CHAPEL HILL RD
Hoover, AL 35216

Reassigned Medicare billing, Louisiana enrollment
163 clinicians in this Medicare group

NPI 1538686498 (407) 219-5402

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

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

246 services25 patients

Injection, ceftriaxone sodium, per 250 mg J0696

Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.

192 services47 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

185 services91 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

165 services90 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

104 services100 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

98 services93 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

74 services62 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

70 services69 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

56 services55 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

31 services29 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

21 services20 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

20 services20 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services17 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70605 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 4

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

DR. JAMES JACKSON D.O.

Orthopaedic Surgery

4345 NELSON RD STE 101
LAKE CHARLES, LA 70605

Calcasieu Parish (337) 480-7942

MORGAN HAY LEJEUNE APRN-CNP

Nurse Practitioner (Family)

4345 NELSON RD STE 101
LAKE CHARLES, LA 70605

Calcasieu Parish (337) 480-7942

JACOB M THERIOT FNP-C

Nurse Practitioner (Family)

4345 NELSON RD STE 101
LAKE CHARLES, LA 70605

Calcasieu Parish (337) 480-7942

CARLEE THERIOT CARROLL APRN, FNP-C

Nurse Practitioner (Family)

4345 NELSON RD STE 101
LAKE CHARLES, LA 70605

Calcasieu Parish (337) 480-7942

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 Colby Thibodeaux's NPI number?

The NPI number for Colby Thibodeaux is 1912539115. It was assigned to this individual provider in the NPPES registry on February 6, 2020.

Where is Colby Thibodeaux located?

Colby Thibodeaux practices at 4345 Nelson Rd Ste 101, Lake Charles, LA 70605. The listed phone number is (337) 480-7942.

What is Colby Thibodeaux's specialty?

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

Is Colby Thibodeaux enrolled in Medicare?

Yes. Colby Thibodeaux is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Colby Thibodeaux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colby Thibodeaux reassigns Medicare benefits to 2 organizations: Calcasieu Urgent Care LLC (Lake Charles, LA) and Upperline Healthcare, PC (Hoover, AL). Each 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 Colby Thibodeaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colby Thibodeaux was last updated on April 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.