Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Staci Simon Boudreaux, PA-C

Individual provider Physician Assistant · NPI 1487649091

Staci Simon Boudreaux, PA-C is a Physician Assistant in Asheville, North Carolina. Qualified in 2001, 25 years ago. Practices with Fletcher Hospital Inc, a 301-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Louisiana and North Carolina.

Years since qualifying
25
Licensed in
LA, NC
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

333 Gashes Creek Rd Ste 111
Asheville, NC 28803-9405
Phone: (828) 299-5515
Fax: (828) 701-0626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Hospital Dr Ste 4200, Asheville, NC 28801-4550 — (828) 213-1994

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-10929 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PAA10607 RX (LA)

Record details

NPI number1487649091
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 20, 2005
Last updated in NPPESMay 5, 2025
Certification dateMay 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Fletcher Hospital Inc — 301 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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