CHRISTINA HOPE THIBODEAUX (PA-C) – Medical Physician Assistant, NPI 1639133267

CHRISTINA HOPE THIBODEAUX (PA-C) is a healthcare provider. based in Plano, Texas. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. The NPI Number for CHRISTINA HOPE THIBODEAUX (PA-C) is 1639133267

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA HOPE THIBODEAUX (PA-C)
NPI
1639133267
Phone
(972) 985-9003
Address
5509 PLEASANT VALLEY DR
Enumeration Date
12 April 2006
Last Update Date
5 March 2009

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9729859003
Graduation Year
2005 (21 years ago)
PAC ID
9032122288
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20060711000230
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for CHRISTINA HOPE THIBODEAUX (PA-C)

  • 5509, Pleasant Valley Drive, Plano, Collin County, Texas, 75023, United States

    SUITE 60

    PLANO, TX 750235248

    Phone: (972) 985-9003

    Fax: (972) 985-1176

    Mailing address matches the actual address.

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: 2006-07-11

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
I20060711000230IPhysician AssistantTXTBD

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 75023)

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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: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

What federal number belongs to CHRISTINA HOPE THIBODEAUX (PA-C)?
The federal identifier for CHRISTINA HOPE THIBODEAUX (PA-C) is NPI 1639133267.
Is CHRISTINA HOPE THIBODEAUX (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize CHRISTINA HOPE THIBODEAUX (PA-C)'s specialty in plain language?
Clinically, the directory lists CHRISTINA HOPE THIBODEAUX (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is CHRISTINA HOPE THIBODEAUX (PA-C)'s primary listing?
We display Plano, Texas because that is what the record indicates for CHRISTINA HOPE THIBODEAUX (PA-C).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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