Individual provider Active NPI

Katie M Beaudoin, PA-C

  • Physician Assistant
  • Pearland, TX
National Provider Identifier
1477589448
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA04600 Issued in TX
Practice address
16100 South Fwy
Pearland, TX 77584-1895
Phone
(713) 416-5000
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA04600 TX Primary
Medical Physician Assistant 363AM0700X 10000883A IN

Addresses

Primary practice location

16100 South Fwy
Pearland, TX 77584-1895

Mailing address

6431 Fannin St
Houston, TX 77030-1501
Phone (713) 500-6828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050927000581 TX Practitioner - Physician Assistant 9436184629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Univeristy of Texas Rio Grande Valley Med School, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

16100 S Fwy
Pearland, TX 77584-1895
Phone (713) 413-5000

6410 Fannin St
Houston, TX 77030-3005

Hospital & facility affiliations

  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184

Merit-based Incentive Payment System (MIPS)

Final score
84.11 of 100Reported as group
Quality
69.15
Promoting interoperability
100
Improvement activities
40
Cost
73.63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ut Physicians CurrentSince Sep 6, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2018 Accepting new patients
Ut Physicians Physician Assistant CurrentSince Sep 6, 2022 Accepting new patients
Baylor College of Medicine CurrentSince Mar 1, 2018 Accepting new patients

Locations

27800 NW Freeway
Cypress, TX 77433
Phone (346) 231-4000

6431 Fannin St
Houston, TX 77030
Phone (713) 500-5800

6410 Fannin St
Ste 1020
Houston, TX 77030
Phone (832) 325-7090

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

6400 Fannin St
Ste 2800
Houston, TX 77030
Phone (713) 704-7100

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

18955 N Memorial Dr
Ste 360
Humble, TX 77338
Phone (281) 319-8530

16100 South Fwy
Pearland, TX 77584
Phone (713) 413-5000

16655 Southwest Fwy
Sugar Land, TX 77479
Phone (281) 274-7117

Organizations & group practices 4

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

Hospital & facility affiliations 6

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": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1477589448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301501",
            "telephone_number": "713-500-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16100 SOUTH FWY",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775841895",
            "telephone_number": "713-416-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEAUDOIN",
        "first_name": "KATIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA04600",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IN",
            "license": "10000883A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.