DR. KRISTIN LUCAS BOUDREAUX (DC, MSN, APRN) – Family Nurse Practitioner, NPI 1376592055
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
Provider Addresses for DR. KRISTIN LUCAS BOUDREAUX (DC, MSN, APRN)
260 TRIFECTA CT
APT 84
WALTON, KY 410947212
Phone: (337) 298-3290
Type: Mailing
560 S Loop Rd
Suite 211
Edgewood, KY 410173405
Phone: (859) 301-2663
Type: Location
560, South Loop Road, Summit Hills Heights, Edgewood, Kenton County, Kentucky, 41017, United States
SUITE 211
EDGEWOOD, KY 410173405
Phone: (859) 301-2663
Type: Location
102 JEAN MAR RD
RAYNE, LA 705787544
Phone: (337) 298-3290
Type: Mailing
203 WESTGATE RD
LAFAYETTE, LA 705062712
Phone: (337) 223-8401
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2022-08-13
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 |
|---|---|---|---|---|
| I20220813000707 | I | Nurse Practitioner | LA | 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 |
|---|---|---|---|---|
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 247 | 32 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 82 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 80 | 78 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 43 | 21 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 40 | 40 | $0 |
Insurance plans in this area (ZIP 41094)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | LA | |
| - | LA | |
| Occupational Therapist In Private Practice | LA | |
| Physician Assistant | LA | |
| Physical Therapist In Private Practice | LA | |
| Occupational Therapist In Private Practice | LA | |
| Physician Assistant | LA | |
| Physical Therapist In Private Practice | LA | |
| Physical Therapist In Private Practice | LA | |
| Occupational Therapist In Private Practice | LA |
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