MR. ANDREW GERARD BOUDREAU N.P.
NPI 1053330738
Nurse Practitioner in Marquette, MI

Q: What is Andrew Boudreau's NPI number?

The NPI number for Andrew Boudreau is 1053330738. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Q: What is Andrew Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Boudreau was last updated on February 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2006PECOS Enrolled

580 W COLLEGE AVE, MARQUETTE, MI 49855(906) 225-4531(906) 225-4807 Get Directions Write a Review

NPPES record last updated: February 25, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mr. Andrew Gerard Boudreau N.p. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. ANDREW GERARD BOUDREAU N.P. (NPI 1053330738) is an individual nurse practitioner in Marquette, Michigan, licensed in Michigan (4704174895) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053330738

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMR. ANDREW GERARD BOUDREAUCredential: N.P.

Location Address580 W COLLEGE AVEMarquette, MI 49855-2705

Mailing AddressPo Box 220Marquette, MI 49855-0220 · (906) 225-3630 · Fax (906) 225-4537

Phone(906) 225-4531

Fax(906) 225-4807

Sole ProprietorNo

Enumeration DateJuly 19, 2006

Last NPPES UpdateFebruary 25, 2008

✔ NPI 1053330738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MI · 4704174895

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

580 W COLLEGE AVE, Marquette, MI 49855

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Other Identifiers 2

Medicaid4958447MI

Medicare UPINQ74983MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Andrew Gerard Boudreau N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49855 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAMELA JEAN ROOSE REGISTERED DIETITIAN

Dietitian, Registered