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

Pibi Jean Bouda

Individual provider Gerontology Nurse Practitioner · NPI 1235836982

Pibi Jean Bouda is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with Py Medical Services of Mo PC, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2023
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Practice location Address checks out

3320 Marshall Ave
Saint Louis, MO 63114-4344
Phone: (314) 489-5537
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12277 Depaul Dr., Bridgeton, MO 63044 — (314) 291-8824

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2023005006 (MO)

Record details

NPI number1235836982
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 13, 2023
Last updated in NPPESApril 26, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Py Medical Services Of Mo Pc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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