JENNIFER HARMON BOUDREAUX
NPI 1275179012
Nurse Practitioner - Family in Redding, CA

Q: What is Jennifer Boudreaux's NPI number?

The NPI number for Jennifer Boudreaux is 1275179012. It was assigned to this individual provider in the NPPES registry on November 26, 2019.

Q: What is Jennifer Boudreaux's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 26, 2019PECOS EnrolledAccepts Medicare Assignment

1441 LIBERTY ST, REDDING, CA 96001(530) 224-2700(530) 224-2738 Get Directions Write a Review

NPPES record last updated: November 26, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Jennifer Harmon Boudreaux NPPES

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

JENNIFER HARMON BOUDREAUX (NPI 1275179012) is an individual family provider in Redding, California, licensed in California (NP95013036) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1275179012

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER HARMON BOUDREAUX

Location Address1441 LIBERTY STRedding, CA 96001-0811

Mailing Address1441 Liberty StRedding, CA 96001-0811 · (530) 224-2700 · Fax (530) 224-2738

Phone(530) 224-2700

Fax(530) 224-2738

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateNovember 26, 2019

✔ NPI 1275179012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · NP95013036

1441 LIBERTY ST, Redding, CA 96001

Open in Google Maps ↗

Other Identifiers 1

OtherNP95013036CA · Board Of Registered Nursing

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

Jennifer Harmon Boudreaux 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 ID345675922

PECOS Enrollment IDI20260316002402

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 96001 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

1 supplier15 claims32 services$4.93 avg. paid by Medicare

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4149

Other-Enteral and Parenteral · category OB006N

1 supplier11 claims6,193 services$1.14 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier13 claims13 services$72.65 avg. paid by Medicare

Trapeze bars, a/k/a patient helper, attached to bed, with grab bar E0910

DME-Other DME · category DE000N

1 supplier11 claims11 services$9.26 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier36 claims36 services$112.69 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier24 claims24 services$32.77 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

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.

MELANIE ANNE CATALANO P.A.

Physician Assistant