Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Kristi McDonald Boudreaux, NP-C

Individual provider Family Nurse Practitioner · NPI 1669814513

MS. Kristi McDonald Boudreaux, NP-C is a Nurse Practitioner in Mocksville, North Carolina. Qualified in 2012, 14 years ago. Practices with Gaston Family Health Services Inc, a 98-clinician group and accepts Medicare assignment. Licensed in Louisiana and North Carolina.

Years since qualifying
14
Licensed in
LA, NC
In the registry since
2013
Specialties on file
3
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

154 Government Center Dr
Mocksville, NC 27028-6299
Phone: (336) 477-2233
Fax: (336) 450-1744
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5018585 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP07307 (LA)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AP07307 (LA)

Record details

NPI number1669814513
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 20, 2013
Last updated in NPPESAugust 7, 2023
Certification dateAugust 7, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Gaston Family Health Services Inc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Mocksville