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MS. PATRICIA ANN BOUDREAU P. A.
NPI 1215071345
Physician Assistant - Surgical in Albany, NY

Active since February 20, 2007PECOS Enrolled
314 S MANNING BLVD, ALBANY, NY 12208(518) 437-5717(518) 437-5554 Get Directions Write a Review

NPPES record last updated: October 29, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Patricia Ann Boudreau P. A. NPPES

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

MS. PATRICIA ANN BOUDREAU P. A. (NPI 1215071345) is an individual surgical provider in Albany, New York, licensed in New York (004384-1) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215071345
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameMS. PATRICIA ANN BOUDREAUCredential: P. A.
Location Address314 S MANNING BLVDAlbany, NY 12208-1708
Mailing Address314 S Manning BlvdAlbany, NY 12208-1708 · (518) 437-5717 · Fax (518) 437-5554
Phone(518) 437-5717
Fax(518) 437-5554
Sole ProprietorNo
Enumeration DateFebruary 20, 2007
Last NPPES UpdateOctober 29, 2009
✔ NPI 1215071345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in NY · 004384-1
314 S MANNING BLVD, Albany, NY 12208
Open in Google Maps ↗

Other Identifiers 1

Medicare PINJ400007203NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Patricia Ann Boudreau P. A. 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
97%245 patients4/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
84%206 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
85%204 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

JENNIFER WALKER RDH
Dental Hygienist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 437-5717
MICAH ROSS CUTLER OTR
Occupational Therapist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 437-5861
KIMBERLY LYNN KELLER
Registered Nurse
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 437-5700
PENELOPE M BLASCH PT
Physical Therapist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 453-2273
JOANNE COFFEY SLP
Speech-Language Pathologist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 437-5717
USHA JONNALAGADDA DMD
Dentist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 453-2273
KIMBERLY SILVERNAIL KEANE PT
Physical Therapist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 453-2273
LINNEA MESICK
Occupational Therapist
314 S MANNING BLVD
ALBANY, NY 12208
Albany County (518) 437-5717

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Boudreau's NPI number?

The NPI number for Patricia Boudreau is 1215071345. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Patricia Boudreau located?

Patricia Boudreau practices at 314 S Manning Blvd, Albany, NY 12208. The listed phone number is (518) 437-5717.

What is Patricia Boudreau's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Patricia Boudreau enrolled in Medicare?

Yes. Patricia Boudreau is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Patricia Boudreau was last updated on October 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.