Raegen Harbour Boudreaux, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

310483 Issued in LA

Practice address

1717 Saint Charles Ave
New Orleans, LA 70130-5223

Phone

(504) 529-6600

NPI assigned

Aug 29, 2018

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baton Rouge General Medical CenterGroup PAC ID 4082600077, 58 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Merit-based Incentive Payment System (MIPS)

Final score

78.3 of 100Reported as group

Quality

57.21

Promoting interoperability

99

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rboudreaux21776@brgeneralhealthsystem.direct-ci.com

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.

• Baton Rouge General Medical Center

  dba Baton Rouge General Surgical Associates

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724
  Medicare reassignment Care Compare group NPD
• Baton Rouge General Physicians, Inc.

  dba Louisiana Cardiology Associates at Baton Rouge General

  • Obstetrics Physician
  • Baton Rouge, LA
  • NPI 1609134766
  Medicare reassignment NPD
• Vascular Specialty Center LLC

  • Vascular Surgery Physician
  • Baton Rouge, LA
  • NPI 1730410408
  Medicare reassignment NPD
• Baton Rouge General Medical Center

  dba BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984
  NPD
• Baton Rouge General Physicians, Inc.

  dba BRGP Louisiana Sleep Foundation

  • Sleep Medicine (Internal Medicine) Physician
  • Baton Rouge, LA
  • NPI 1518688985
  NPD

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

• Baton Rouge General Medical Center

  dba Family Health Center

  • Family Medicine Physician
  • Baton Rouge, LA
  • NPI 1184648651

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Surgical Associates

  • Surgery Physician
  • Baton Rouge, LA
  • NPI 1215199724

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Hospital Specialists

  • Neurological Surgery Physician
  • Baton Rouge, LA
  • NPI 1285887844

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba BRG Comprehensive Care Center

  • Gastroenterology Physician
  • Baton Rouge, LA
  • NPI 1407346984

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  dba Baton Rouge General Express Care

  • Clinic/Center
  • Baton Rouge, LA
  • NPI 1679096416

  Hospital

  Care Compare affiliation
• Baton Rouge General Medical Center

  • General Acute Care Hospital
  • Baton Rouge, LA
  • NPI 1962537407
  Care Compare affiliation

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1952883605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5262 WOODSIDE DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708081951",
            "telephone_number": "225-315-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SAINT CHARLES AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701305223",
            "telephone_number": "504-529-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "RAEGEN",
        "middle_name": "HARBOUR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "310483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Erica Boudreaux, PA-C
• Kristi Boudreaux, M.D.
• Lionel Boudreaux, MD
• Madison McCall Boudreaux
• Malarie Boudreaux, LCSW
• John Boughton
• Melanie J Bouie, LCSW
• Nicole Letrice Bouie, LMSW
• Sheena Bouie
• Elizabeth Bouldin, MD

• Surgical Physician Assistant in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Surgical Physician Assistant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.