Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841237120 Individual Practitioner Female Practitioner

Patricia A Boudet , PA

Physician Assistant • Carbondale, IL

Professional Overview & Biography Verified Profile Summary

Patricia Boudet, PA is a registered healthcare professional specializing in Physician Assistant in Carbondale, IL. Practice services are available at 404 S LEWIS LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

404 S Lewis Ln

Carbondale, IL 629013547

Telephone 6185199200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085-000668

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
370966854024 (IL)
Commercial Insurance / Payer ID State Pa Medical License
085-000668 (IL)

Secondary Practice Locations

400 S Lewis Ln

Carbondale, IL 629013547

Phone: 6185199900

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Russell Brown , PA-C

Physician Assistant - Medical

NPI 1003920034

Physician Assistant (Certified)

Megan Walker

Advanced Practice Midwife

NPI 1013464692
NPI 1023509932

Doctor of Dental Surgery

Lindsay Miller , LCPC

Counselor - Mental Health

NPI 1023774056

Licensed Clinical Professional Counselor

Katie Surman , RD

Dietitian, Registered

NPI 1033038005

Registered Dietitian

Dr. Douglas Brown , DO

Family Medicine

NPI 1033364674

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location March 17, 2018

Registered at 404 S LEWIS LN, CARBONDALE, IL 629013547 (Tel: 6185199200)

📍
Updated Practice Location March 06, 2018

Registered at 404 S LEWIS LN, CARBONDALE, IL 629013547 (Tel: 6185199200)

NPI Profile Active March 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2015

Registered at 400 S LEWIS LN, CARBONDALE, IL 629013547 (Tel: 6185199900)

📍
Updated Business Mailing Address March 20, 2015

Registered at PO BOX 577, 109 CALIFORNIA STREET, CARTERVILLE, IL 629180577 (Tel: 6189858221)

👤
Provider Name / Credentials Updated March 20, 2015

Recorded as PATRICIA BOUDET, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2015

Physician Assistant (License #085-000668 in IL)

🟢
Initial NPI Registration & Enumeration June 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841237120
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2006
Last Update: March 17, 2018
Sole Proprietor: No

Mailing Address

Po Box 577, 109 California Street

Carterville, IL 629180577

Phone: 6189858221

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.