MR. THADDEUS JASON BOUGHTON (ANP-BC) – Adult Health Nurse Practitioner, NPI 1043553357

MR. THADDEUS JASON BOUGHTON (ANP-BC) is a healthcare provider. based in Muscle shoals, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials ANP-BC. They hold a License No. 1139488 (AL). The NPI Number for MR. THADDEUS JASON BOUGHTON (ANP-BC) is 1043553357

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
MR. THADDEUS JASON BOUGHTON (ANP-BC)
NPI
1043553357
Phone
(256) 314-2431
Address
1110 E 6th Street Suite E
Enumeration Date
4 April 2013
Last Update Date
9 May 2019

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2563142431
Graduation Year
2012 (14 years ago)
PAC ID
0345476123
Professional Enrollment ID
I20131127000458
Address ID
AL356613957MU1110XSTXX403

Contacts

Secure Messaging
thad@diabetesandwellnessshoals.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

5,653 NURSE PRACTITIONER in AL

Provider Addresses for MR. THADDEUS JASON BOUGHTON (ANP-BC)

  • 1110 E 6th Street Suite E

    Muscle Shoals, AL 35661

    Phone: (256) 314-2431

    Fax: (256) 314-2435

    Type: Location

  • 1110 E 6TH STREET SUITE E

    MUSCLE SHOALS, AL 356613669

    Phone: (256) 314-2431

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 118 Open Payments records for all available years, with a total value of $1,810.

Total Amount is formed as General ($1,810) + Research ($0) + Ownership ($0) = $1,810.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Novo Nordisk Inc ($739).

Total Amount

$1,810

General + Research + Ownership

Payments

118

Total payment records

General Amount

$1,810

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-11-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20131127000458INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes23588$0
83036Hemoglobin a1c level19777$0
82947Blood glucose (sugar) level19183$0
95251Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report9942$0
99213Established patient office or other outpatient visit, 20-29 minutes4720$0
View full utilization report →

Insurance plans in this area (ZIP 35661)

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Reviews

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Frequently asked questions

What is the standard ID for MR. THADDEUS JASON BOUGHTON (ANP-BC) in the U.S.?
In the U.S., MR. THADDEUS JASON BOUGHTON (ANP-BC) is identified by NPI 1043553357.
Does the public listing show MR. THADDEUS JASON BOUGHTON (ANP-BC) as active?
MR. THADDEUS JASON BOUGHTON (ANP-BC)'s NPI record reflects an active status in NPPES.
How should patients interpret MR. THADDEUS JASON BOUGHTON (ANP-BC)'s specialty?
The extract shows Adult Health Nurse Practitioner for MR. THADDEUS JASON BOUGHTON (ANP-BC). Clinical services aligned with this taxonomy classification.
Is MR. THADDEUS JASON BOUGHTON (ANP-BC) tied to Muscle Shoals, Alabama?
If you are local to Muscle Shoals, Alabama, MR. THADDEUS JASON BOUGHTON (ANP-BC) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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