MRS. LYNN R THIBODEAU (PA) – Physician Assistant, NPI 1811992696
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
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Provider Addresses for MRS. LYNN R THIBODEAU (PA)
Old Saint Augustine Road, Bayard, Jacksonville, Duval County, Florida, 32258, United States
BLDG A SUITE 317
JACKSONVILLE, FL 322585468
Phone: (904) 260-9445
Fax: (904) 260-0005
Type: Location
4689 US HIGHWAY 17 STE 2
FLEMING ISLAND, FL 320034831
Phone: (904) 269-6526
Fax: (904) 269-6527
Type: Location
105 Badger Park Dr # 1-4
St Johns, FL 322591165
Phone: (904) 269-6526
Fax: (833) 885-7020
Type: Location
10232 San Jose Blvd
Jacksonville, FL 322576203
Phone: (904) 269-6526
Fax: (904) 269-6527
Type: Location
7015, A. C. Skinner Parkway, Jacksonville, Duval County, Florida, 32256, United States
SUITE 1
JACKSONVILLE, FL 322566932
Phone: (904) 363-2113
Fax: (904) 363-2606
Type: Mailing
PO BOX 102222
ATLANTA, GA 303682222
Phone: (239) 274-8200
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 207 Open Payments records for all available years, with a total value of $4,192.
Total Amount is formed as General ($4,192) + Research ($0) + Ownership ($0) = $4,192.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($436).
Total Amount
$4,192
General + Research + Ownership
Payments
207
Total payment records
General Amount
$4,192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-08-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150827001284 | I | Physician Assistant | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 12 | 12 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 11 | 11 | $0 |
Insurance plans in this area (ZIP 32258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Medical Oncology | FL | |
| Medical Oncology, Hematology/Oncology | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| H E M A T O L O G Y/ O N C O L O G Y | FL | |
| Internal Medicine, Hematology/Oncology | FL | |
| Clinical Social Worker | FL | |
| - | GA | |
| Hematology/Oncology, Internal Medicine | GA | |
| H E M A T O L O G Y/ O N C O L O G Y | FL |
Reviews
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