RAEGEN HARBOUR BOUDREAUX PA
NPI 1952883605
Physician Assistant - Surgical in New Orleans, LA

Active since August 29, 2018PECOS EnrolledAccepts Medicare Assignment
1717 SAINT CHARLES AVE, NEW ORLEANS, LA 70130(504) 529-6600 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 7, 2022, Aug 29, 2018 (2 updates tracked since 2018).

About Raegen Harbour Boudreaux Pa NPPES

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

RAEGEN HARBOUR BOUDREAUX PA (NPI 1952883605) is an individual surgical provider in New Orleans, Louisiana, licensed in Louisiana (310483) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Baton Rouge General Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1952883605
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameRAEGEN HARBOUR BOUDREAUXCredential: PA
Location Address1717 SAINT CHARLES AVENew Orleans, LA 70130-5223
Mailing Address5262 Woodside DrBaton Rouge, LA 70808-1951 · (225) 315-9224
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 29, 2018
Last NPPES UpdateJuly 7, 20222 updates tracked since enumeration
NPPES CertifiedJuly 7, 2022
NPI 1952883605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in LA · 310483
1717 SAINT CHARLES AVE, New Orleans, LA 70130

Accepted 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

Raegen Harbour Boudreaux Pa 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 ID1658623087
PECOS Enrollment IDI20181011002270
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.

Areas of Expertise CMS Part B claims

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.

Removal of blood clot and portion of chest, neck, or brain artery 35301
This procedure involves the removal of a blood clot and a section of an artery in the chest, neck, or brain. It is often necessary to restore normal blood flow, prevent stroke, or alleviate symptoms related to the clot. The procedure is carried out by a skilled medical team.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Baton Rouge General Medical Center

Acute Care Hospitals · Baton Rouge, LA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190065
Location8585 Picardy AveBaton Rouge, LA 70809 · E. Baton Rouge County
Emergency services Birthing friendly

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.

Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Surgery (Plastic and Reconstructive Surgery)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant (Surgical)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Physician Assistant
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Anesthesiology
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130
Nurse Practitioner (Family)
1717 SAINT CHARLES AVE
NEW ORLEANS, LA 70130

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 Raegen Boudreaux's NPI number?

The NPI number for Raegen Boudreaux is 1952883605. It was assigned to this individual provider in the NPPES registry on August 29, 2018.

Where is Raegen Boudreaux located?

Raegen Boudreaux practices at 1717 Saint Charles Ave, New Orleans, LA 70130. The listed phone number is (504) 529-6600.

What is Raegen Boudreaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Raegen Boudreaux enrolled in Medicare?

Yes. Raegen Boudreaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Raegen Boudreaux accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan and AmeriHealth Caritas Next and 2 other insurers list Raegen Boudreaux 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.

Is Raegen Boudreaux affiliated with any hospitals?

According to CMS data, Raegen Boudreaux is affiliated with Baton Rouge General Medical Center.

When was this NPI record last updated?

The NPPES record for Raegen Boudreaux was last updated on July 7, 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.