Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SHANNON CHRISTOPHER BOUDREAUX MD
NPI 1245285824
Emergency Medicine in Pensacola, FL

Active since May 23, 2006PECOS Enrolled
1 BUBBA WATSON DRIVE, PENSACOLA, FL 32504(850) 416-7000 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 22, 2026, May 18, 2026, Feb 9, 2024 (3 updates tracked since 2024).

About Mr. Shannon Christopher Boudreaux Md NPPES

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

MR. SHANNON CHRISTOPHER BOUDREAUX MD (NPI 1245285824) is an individual emergency medicine provider in Pensacola, Florida, licensed in Florida (ME95353) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1245285824
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMR. SHANNON CHRISTOPHER BOUDREAUXCredential: MD
Location Address1 BUBBA WATSON DRIVEPensacola, FL 32504-8721
Mailing Address1601 Cummins Dr Ste DModesto, CA 95358-6411
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateMay 23, 2006
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
NPI 1245285824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME95353
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPediatricsTaxonomy 208000000X · License ME95353 (FL)
1 BUBBA WATSON DRIVE, Pensacola, FL 32504

Other Names 1

Professional Name (2)Dr. Shannon Christopher Boudreaux Md

Secondary Practice Locations 4

Location 11501 W Nine Mile RdPensacola, FL 32534-5307 · Phone (850) 746-4958
Location 27334 Navarre PkwyNavarre, FL 32566-7752 · Phone (850) 746-2911
Location 35151 N 9th AvePensacola, FL 32504-8721 · Phone (850) 416-7710 · Fax (850) 416-7677
Location 41 Bubba Watson DrivePensacola, FL 32504 · Phone (850) 416-7000

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Shannon Christopher Boudreaux Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860492485
PECOS Enrollment IDI20251030003419
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 32504 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 3

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

Emergency Medicine
1 BUBBA WATSON DRIVE
PENSACOLA, FL 32504
Registered Nurse
1 BUBBA WATSON DRIVE
PENSACOLA, FL 32504
Emergency Medicine
1 BUBBA WATSON DRIVE
PENSACOLA, FL 32504

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 Shannon Boudreaux's NPI number?

The NPI number for Shannon Boudreaux is 1245285824. It was assigned to this individual provider in the NPPES registry on May 23, 2006. The provider is also known as Dr. Shannon Christopher Boudreaux MD.

Where is Shannon Boudreaux located?

Shannon Boudreaux practices at 1 Bubba Watson Drive, Pensacola, FL 32504. The listed phone number is (850) 416-7000.

What is Shannon Boudreaux's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Shannon Boudreaux enrolled in Medicare?

Yes. Shannon Boudreaux is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shannon Boudreaux accept?

Health plans from CHRISTUS Health Plan list Shannon Boudreaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Boudreaux was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.