Individual provider Active NPI

Joelle Boucaud, CRNA

  • Certified Registered Nurse Anesthetist
  • Houston, TX
National Provider Identifier
1417344003
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
209025248 Issued in IL
Practice address
6720 Bertner Ave
Houston, TX 77030-2604
Phone
(832) 355-2666
NPI assigned
Apr 21, 2015
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 209025248 IL Primary

Addresses

Primary practice location

6720 Bertner Ave
Houston, TX 77030-2604

Mailing address

6501 Fannin St Ste Nc114
Houston, TX 77030-2703
Phone (713) 798-7356

Other practice location 1

700 S Park St
Madison, WI 53715-1830
Phone (608) 251-6100

Other practice location 2

2401 S 31st St
Temple, TX 76508-0001
Phone (254) 724-2111

Other identifiers 1

IdentifierTypeStateIssuer
1417344003MedicaidWI

Other names 1

  • Joelle Goued Njayig Former name

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address jgouednjayig79515@direct.sw.org Direct
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address jboucaud246499@direct.urmc.rochester.edu Direct
Direct Messaging Address jboucaud511903@direct-ehr-ssmhc.com Direct
Direct Messaging Address jboucaud246499@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, IL, WI4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151109001423 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456661347 Reassigns benefits to 5 organizations
I20220126003035 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456661347
I20220419000879 IL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456661347 Reassigns benefits to 5 organizations
I20230123001549 WI Practitioner - Certified Registered Nurse Anesthetist (Crna) 1456661347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
G and G Anesthesia LLCGroup PAC ID 4981912607, 92 clinicians
Associated Anesthesiologists SCGroup PAC ID 6305744129, 150 clinicians

Practice addresses (Care Compare)

3315 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-1000

3333 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 344-3161

3333 W Deyoung St
Suite 62959
Marion, IL 62959-5884
Phone (618) 998-7000

3375 N Seminary St
Galesburg, IL 61401-1251
Phone (309) 676-0766

6742 N Frostwood Pkwy
Peoria, IL 61615-2402
Phone (309) 692-5393

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
209025248ILMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Anesthesiologists, SC CurrentSince Aug 23, 2023 Accepting new patients
Dean Health Systems, Inc CurrentSince May 29, 2024 Accepting new patients
Anesthesia Dynamics LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2020 Accepting new patients
Scott & White Clinic Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2021 Accepting new patients
Midwest Anesthesia Providers S.C Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2022 Accepting new patients
Independent Physicians Network PLLC CurrentSince Sep 1, 2022 Accepting new patients
Dean Health Systems, Inc. CurrentSince May 29, 2024 Accepting new patients
Carle West Physician Group Inc CurrentSince Apr 22, 2024 Accepting new patients
G & G Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Dec 18, 2024 Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 26, 2021 Accepting new patients
Associated Anesthesiologists, S.C. CurrentSince Aug 23, 2023 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Endo Sedation LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
U of R Anesthesiology Group CurrentSince Jan 31, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Nov 15, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Nov 15, 2022 Accepting new patients
Northstar Anesthesia, PA Nurse Anesthetist, Certified Registered CurrentSince Aug 6, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Apr 23, 2025 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Pediatric Dentistry of Keller PLLC PastSince Jul 28, 2019 Accepting new patients

Locations (25 of 33)

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

2204 Eastland Dr
Bloomington, IL 61704
Phone (309) 662-9461

3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

530neglen Oak Ave
Peoria, IL 61637
Phone (309) 692-5393

6742 N Frostwood Pkwy
Peoria, IL 61615
Phone (309) 692-5393

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#604
Rochester, NY 14642
Phone (585) 275-2141

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444

8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519

8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519

1411 Medical Pkwy
Ste 100
Cedar Park, TX 78613
Phone (512) 528-2000

3300 Oak Lawn Ave
Ste 200
Dallas, TX 75219
Phone (214) 252-3500

1001 Surrey Ln
Flower Mound, TX 75022
Phone (817) 337-3671

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909

5858 Westheimer Rd
Ste 82
Houston, TX 77057
Phone (713) 784-6065

7200 Cambridge St
Fl 1
Houston, TX 77030
Phone (713) 798-3924

1627 Keller Pkwy
Ste 100
Keller, TX 76248
Phone (480) 207-9709

2201 Clear Creek Rd
Killeen, TX 76549
Phone (254) 519-8185

Interoperability endpoints

  • Direct secure messaging: jboucaudcrna410102@carlehiedirect.net

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1417344003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 FANNIN ST STE NC114",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302703",
            "telephone_number": "713-798-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BERTNER AVE",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302604",
            "telephone_number": "832-355-2666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 S Park St",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537151830",
            "country_code": "US",
            "telephone_number": "608-251-6100",
            "fax_number": "608-258-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 S 31st St",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "254-724-2111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUCAUD",
        "first_name": "JOELLE",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "209025248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417344003",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgouednjayig79515@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboucaud246499@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboucaud511903@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jboucaud511903@direct-ehr-ssmhc.com",
            "address_1": "700 S Park St",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537151830",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jboucaud246499@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOELLE",
            "last_name": "GOUED NJAYIG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.