LAURA PATRICIA THIBODAUX (FNP) – Nurse Practitioner, NPI 1285207860

LAURA PATRICIA THIBODAUX (FNP) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 1048025 (TX). The NPI Number for LAURA PATRICIA THIBODAUX (FNP) is 1285207860

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LAURA PATRICIA THIBODAUX (FNP)
NPI
1285207860
Phone
(409) 892-1192
Address
755 N 11TH ST STE P2200
Enumeration Date
21 July 2021
Last Update Date
4 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098921192
Graduation Year
2021 (5 years ago)
PAC ID
4183028145
Group Practice PAC ID
9032179791
Professional Enrollment ID
I20210812002406
Address ID
TX777021513BE755XXSTXX404
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for LAURA PATRICIA THIBODAUX (FNP)

  • 755 N 11TH ST STE P2200

    BEAUMONT, TX 777021513

    Phone: (409) 892-1192

    Fax: (409) 899-4956

    Type: Mailing

  • 2501 JIMMY JOHNSON BLVD STE 401

    PORT ARTHUR, TX 776402013

    Phone: (409) 401-5864

    Fax: (409) 344-8600

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 35 Open Payments records for all available years, with a total value of $899.

Total Amount is formed as General ($899) + Research ($0) + Ownership ($0) = $899.

Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($229).

Total Amount

$899

General + Research + Ownership

Payments

35

Total payment records

General Amount

$899

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-11

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: 2021-08-12

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
I20210812002406INurse PractitionerTXTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77702)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032179791View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional CardiologyTX
Interventional Cardiology, Internal Medicine, Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

Is LAURA PATRICIA THIBODAUX (FNP) listed with a National Provider Identifier?
Yes — LAURA PATRICIA THIBODAUX (FNP) has NPI 1285207860 on file in the registry.
Active or inactive — what applies to LAURA PATRICIA THIBODAUX (FNP)?
You should see LAURA PATRICIA THIBODAUX (FNP) as active in CMS-hosted NPPES data.
What clinical focus is listed for LAURA PATRICIA THIBODAUX (FNP)?
At a glance, LAURA PATRICIA THIBODAUX (FNP) is tied to Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Texas is LAURA PATRICIA THIBODAUX (FNP) registered?
Use Beaumont, Texas as the headline location for LAURA PATRICIA THIBODAUX (FNP) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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