Tara Boudoin Deville, NP
NPI 1104184845ActiveIndividual· Nurse Practitioner· Beaumont, TX
Nurse Practitioner (NP) in Beaumont, Texas, licensed in TX, with an NPI issued in May 2012. Part D covered 88 prescriptions written in 2024, 92% of them generic.
Overview
| NPI | 1104184845 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | May 1, 2012 |
| Last updated in NPPES | Jun 13, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 712309 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (TX) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 88 · 94 30-day fills |
|---|---|
| Patients | 61 |
| Total drug cost | $1,972 |
| Generic share | 92% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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