Individual provider Active NPI

Erin Elizabeth Boudreaux, PA-C

  • Physician Assistant
  • Lake Charles, LA
National Provider Identifier
1932099447
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2640 Country Club Rd Ste 400
Lake Charles, LA 70605-6079
Phone
(337) 426-0919
NPI assigned
Jul 7, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2640 Country Club Rd Ste 400
Lake Charles, LA 70605-6079

Mailing address

1225 Country Club Rd Ste 400
Lake Charles, LA 70605-6189
Phone (337) 426-0919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20250916000923 LA Practitioner - Physician Assistant 0840794715 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ochsner Clinic LLCGroup PAC ID 8224933619, 2,845 clinicians
Calcasieu Urgent Care LLCGroup PAC ID 5496908071, 132 clinicians

Practice addresses (Care Compare)

10071 Gulf Hwy
Lake Charles, LA 70607-8672
Phone (337) 905-2151

1017 N Pine St
Deridder Urgent Care
Deridder, LA 70634-2817
Phone (337) 202-4101

1429 Beglis Pkwy
Sulphur, LA 70663-5603
Phone (337) 528-8000

2640 Country Club Rd
Suite 400
Lake Charles, LA 70605-6079
Phone (337) 426-0919

3439 Hwy 1256
Sulphur, LA 70665-8817
Phone (337) 607-0037

Hospital & facility affiliations

  • Christus Ochsner St Patrick Hospital Hospital, Lake Charles, LA, CCN 190027
  • Christus Ochsner Lake Area Hospital Hospital, Lake Charles, LA, CCN 190201

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Dec 30, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Upperline Healthcare, PC CurrentSince Sep 22, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 30, 2025 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Aug 11, 2025 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Aug 11, 2025 Accepting new patients
Ochsner Clinic LLC Past Accepting new patients

Locations

9414 E Park Ave
Houma, LA 70363
Phone (985) 601-5895

10071 Highway 385
Lake Charles, LA 70607
Phone (337) 905-2151

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

103 W University Pkwy
Leesville, LA 71446
Phone (337) 239-2600

57 Pinecrest Dr
Pineville, LA 71360
Phone (318) 232-6071

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

132 Well Rd
West Monroe, LA 71291
Phone (318) 217-6521

Organizations & group practices 7

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": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1932099447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 COUNTRY CLUB RD STE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056189",
            "telephone_number": "337-426-0919",
            "fax_number": "337-426-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 COUNTRY CLUB RD STE 400",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706056079",
            "telephone_number": "337-426-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.