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CELYNNE JOELLE BEAUDOIN
NPI 1962043562
Physician Assistant in Dallas, TX

Active since October 04, 2019PECOS Enrolled
1135 N BISHOP AVE, DALLAS, TX 75208(214) 942-3100(214) 948-3697 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 1, 2023, Oct 4, 2019 (2 updates tracked since 2019).

About Celynne Joelle Beaudoin NPPES

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

CELYNNE JOELLE BEAUDOIN (NPI 1962043562) is an individual physician assistant in Dallas, Texas, licensed in Texas (PA15300) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1962043562
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCELYNNE JOELLE BEAUDOIN
Location Address1135 N BISHOP AVEDallas, TX 75208-4114
Mailing Address7224 S Elwood Ave Apt 29208Tulsa, OK 74132-2462 · (405) 315-3087
Phone(214) 942-3100
Fax(214) 948-3697
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 4, 2019
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1962043562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA15300
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1135 N BISHOP AVE, Dallas, TX 75208
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Celynne Joelle Beaudoin is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8123409968
PECOS Enrollment IDI20220725003357
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 75208 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
Most-billed visit code 99213
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 8

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

DR. ALFREDO GUILLERMO ANTONETTI M.D.
Obstetrics & Gynecology
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100
WOMENS SPECIALTY CENTER PA
Specialist
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100
CAMERON MATTHEW HOLMES MD
Obstetrics & Gynecology
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100
DR. AKSHAY GOSWAMI MD
Obstetrics & Gynecology
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 542-6620
DR. JEFFREY SCOTT SANDATE MD
Obstetrics & Gynecology
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100
STELLA MATTINA HEALTH INC
Obstetrics & Gynecology
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100
GONZALO VENEGAS MD
Obstetrics & Gynecology
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100
RUTH ANN SMITH MOSELEY NP
Nurse Practitioner (Gerontology)
1135 N BISHOP AVE
DALLAS, TX 75208
Dallas County (214) 942-3100

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 Celynne Beaudoin's NPI number?

The NPI number for Celynne Beaudoin is 1962043562. It was assigned to this individual provider in the NPPES registry on October 4, 2019.

Where is Celynne Beaudoin located?

Celynne Beaudoin practices at 1135 N Bishop Ave, Dallas, TX 75208. The listed phone number is (214) 942-3100.

What is Celynne Beaudoin's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Celynne Beaudoin enrolled in Medicare?

Yes. Celynne Beaudoin is registered in the Medicare PECOS enrollment system.

What insurance does Celynne Beaudoin accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 6 other insurers list Celynne Beaudoin 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 Celynne Beaudoin was last updated on March 1, 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.