Lynn R. Thibodeau, PA
Medical Physician Assistant · Fleming Island, FL
Lynn R. Thibodeau, PA is a medical physician assistant with a practice address in Fleming Island, Florida, and NPI 1811992696, issued on Jun 17, 2005. Check the license (Florida PA9107879, as entered in NPPES) on the Florida health license search; the Medicare figures below come from public CMS files.
- Name
- Lynn R. Thibodeau
- Credential
- PA
- Primary taxonomy
- Medical Physician Assistant 363AM0700X
- License number
- PA9107879 FL
Self-reported in NPPES; status is on the state search - Practice location
- 4689 US Highway 17 Ste 2, Fleming Island, FL 32003
- Phone
- (904) 269-6526
- Enumerated
- Jun 17, 2005
- Record last updated
- Jun 29, 2026
- Fax
- (904) 269-6527
- Medicaid ID
- 015211100 FL
- Medicare enrollment
- Enrolled (PECOS I20150827001284); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest medical physician assistant records → All 2,776 in Florida → Look up another NPI →
Also registered at 4689 US Highway 17 Ste 2
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristin Schmidt, APRNNurse Practitioner1578181210
Verify Lynn R. Thibodeau in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersFlorida health license search
Search for license PA9107879Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $2,508.67
123 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 16,165 providers of this specialty with any payment received $1,055.00 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Florida Cancer Specialists And Research Institute, LLCSt Johns, FL
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Lynn R. Thibodeau among 2,776 medical physician assistant records in Florida
Lynn R. Thibodeau, PA is one of 2,776 medical physician assistant records with a practice address in Florida. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 94% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 46% of these records are
- Graduated2002 · median 2013 among the 1,278 with a school on file
- Record last updated2026 · 52% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AM0700X and a Florida practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
5 medical physician assistant records list a practice address in Fleming Island
They are 5 of the 571 NPPES records with a practice address in Fleming Island, and 2,776 medical physician assistant records in Florida.
All 2,776 in Florida → Every provider in Fleming Island → Medical Physician Assistant nationwide →
The 8 medical physician assistant records with the nearest ZIP codes
- Vanessa Hajzus, PA-CFleming Island, FL 320031730581257
- James O'Callaghan, PA-CFleming Island, FL 320031548408347
- Raychel RaymerFleming Island, FL 320031376945188
- Mary Sutherland, P.A.-CFleming Island, FL 320031912927237
- Stephanie Wilder, PA-COrange Park, FL 320031508093873
- Kyle Wright, PA-CLake City, FL 320241841422185
- Linda Sheehan-Foster, PA-CLake City, FL 320251790748382
- Sondra Wheeler, PA-CLake City, FL 320251851328629
Common questions
What is Lynn R. Thibodeau, PA's NPI number?
Lynn R. Thibodeau, PA's National Provider Identifier (NPI) is 1811992696, issued on Jun 17, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Lynn R. Thibodeau, PA located?
The NPPES record lists a practice address at 4689 US Highway 17 Ste 2, Fleming Island, FL, 32003. Phone: (904) 269-6526. Providers update this record themselves, so call before visiting.
How can I verify Lynn R. Thibodeau, PA's license?
NPPES lists Florida license number PA9107879, as entered by the provider. Search the Florida health license search at https://mqa-internet.doh.state.fl.us/mqasearchservices/healthcareproviders. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.