MR. SHANNON CHRISTOPHER BOUDREAUX MD
NPI 1245285824
Emergency Medicine in Pensacola, FL
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
4Medicare enrollment records show Shannon Boudreaux reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pensacola, FL 32504
- Reassigned Medicare billing, Florida enrollment
- 367 clinicians in this Medicare group
Pensacola, FL 32504
- Reassigned Medicare billing, Florida enrollment
- 108 clinicians in this Medicare group
Columbus, GA 31901
- Reassigned Medicare billing, Georgia enrollment
- 236 clinicians in this Medicare group
Lafayette, LA 70503
- Reassigned Medicare billing, Louisiana enrollment
- 87 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Shannon Boudreaux's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Boudreaux reassigns Medicare benefits to 4 organizations: Cep America LLC (Pensacola, FL), Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola (Pensacola, FL), Emergency Group Of Columbus, LLC (Columbus, GA) and Coolidge Emergency Group LLC (Lafayette, LA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shannon Boudreaux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shannon Boudreaux accept?
Health plans from Blue Cross and Blue Shield of Alabama and 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 3 months 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.
# Mr. Shannon Christopher Boudreaux, MD · NPI 1245285824
Emergency Medicine physician in Pensacola, Florida. Individual provider, active in the CMS NPPES registry since May 23, 2006.
## Identity
- **NPI:** 1245285824 (Entity type: Individual)
- **Enumerated:** May 23, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** ME95353 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 BUBBA WATSON DRIVE, Pensacola, FL 32504-8721
- **Phone:** (850) 416-7000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Cep America LLC (NPI 1770345266, Pensacola, FL); Panhandle Emergency Physicians A Div Of Sacred Heart Hosp Pensacola (NPI 1215948096, Pensacola, FL); Emergency Group Of Columbus, LLC (NPI 1316458227, Columbus, GA); Coolidge Emergency Group LLC (NPI 1801140934, Lafayette, LA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2003
## Record status
- **NPPES last updated:** July 22, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1245285824) · Data from the CMS NPPES public registry.