Lynn Thibodeau, PA
NPI 1811992696 · Physician Assistant · Fleming Island, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lynn Thibodeau, PA is a Physician Assistant provider in Fleming Island, FL (NPI 1811992696).
Provider details
- NPI number
- 1811992696
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA9107879 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
21 yrs in NPPES registry
- Profile completeness33% of score
100% of core fields populated
- Practice footprint20% of score
3 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,509 across 123 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 10232 San Jose BlvdJacksonville, FL 32257-6203Phone: (904) 269-6526Fax: (904) 269-6527
- 105 Badger Park Dr # 1-4St Johns, FL 32259-1165Phone: (904) 269-6526Fax: (833) 885-7020
Registry dates
- Enumerated
- 2005-06-17
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Frequently asked questions
- What is Lynn Thibodeau's NPI number?
- Lynn Thibodeau's National Provider Identifier (NPI) is 1811992696, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lynn Thibodeau's specialty?
- Lynn Thibodeau is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lynn Thibodeau located?
- Lynn Thibodeau's practice location on file with NPPES is 4689 US Highway 17 Ste 2, Fleming Island, FL 32003-4831.
- What is Lynn Thibodeau's phone number?
- The practice phone number listed in the NPPES registry for Lynn Thibodeau is (904) 269-6526.
- Does Lynn Thibodeau accept Medicare?
- Lynn Thibodeau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lynn Thibodeau's NPI active?
- Yes — Lynn Thibodeau's NPI (1811992696) is active in the NPPES registry as of the last update on 2024-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.