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MICHELLE M. BOUDREAU D.O. NPI 1346534864


NPI Information

NPI: 1346534864
Provider Name: MICHELLE M. BOUDREAU, D.O.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: ST. JOSEPH HOSPITAL OF NASHUA NH

PECOS Registration: Yes

Address:
9110 COLLEGE POINTE CT
FORT MYERS, FL
ZIP 33919
Phone: (239) 560-4310
Get Directions

Michelle M. Boudreau, D.O. is a neurology psychiatry neurology in Fort Myers, FL with 16 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. Michelle M. Boudreau, D.O. NPI is 1346534864. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2008

The provider's business location address is:

9110 COLLEGE POINTE CT
FORT MYERS, FL
ZIP 33919-244
Phone: (239) 560-4310

The NPI 1346534864 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and recording of brain wave (EEG) activity, awake and asleep (HCPCS:95819)
  • Needle measurement and recording of electrical activity of muscles of arm or leg complete study (HCPCS:95886)

The enumeration date for this NPI number is 6/1/2011 and was last updated on 2/26/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084N0400XPsychiatry & NeurologyNeurology15039NORTH DAKOTANo
22084N0400XPsychiatry & NeurologyNeurology34.013330OHIONo
32084N0400XPsychiatry & NeurologyNeurology18849NEW HAMPSHIRENo
42084N0400XPsychiatry & NeurologyNeurologyDO191076OREGONNo
52084N0400XPsychiatry & NeurologyNeurology5101023728MICHIGANNo
62084N0400XPsychiatry & NeurologyNeurology51008CONNECTICUTNo
72084N0400XPsychiatry & NeurologyNeurologyTM00756TEXASNo
82084N0400XPsychiatry & NeurologyNeurology293760NEW YORKNo
92084N0400XPsychiatry & NeurologyNeurologyOS15070FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13116006MEDICAIDNEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.