MICHELLE M. BOUDREAU D.O.
NPI 1346534864
Psychiatry & Neurology - Neurology in Fort Myers, FL

Q: What is Michelle Boudreau's NPI number?

The NPI number for Michelle Boudreau is 1346534864. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Q: What is Michelle Boudreau's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Michelle Boudreau was last updated on December 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 01, 2011PECOS EnrolledAccepts Medicare Assignment

11215 METRO PKWY STE 1, FORT MYERS, FL 33966(239) 208-2212 Get Directions Write a Review

NPPES record last updated: December 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2023, Jan 3, 2023, Nov 9, 2022 and 8 more (11 updates tracked since 2015).

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About Michelle M. Boudreau D.o. NPPES

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

MICHELLE M. BOUDREAU D.O. (NPI 1346534864) is an individual neurology provider in Fort Myers, Florida, licensed in California (17443) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Philadelphia College Of Osteopathic Medicine (2008).

NPPES Registry Identity

NPI1346534864

Entity TypeIndividualFemale

Primary Taxonomy2084N0400X

Provider Legal NameMICHELLE M. BOUDREAUCredential: D.O.

Location Address11215 METRO PKWY STE 1Fort Myers, FL 33966-1206

Mailing Address11215 Metro Pkwy Ste 1Fort Myers, FL 33966-1206 · (239) 208-2212

Phone(239) 208-2212

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2008

Enumeration DateJune 1, 2011

Last NPPES UpdateDecember 19, 202311 updates tracked since enumeration

NPPES CertifiedDecember 19, 2023

✔ NPI 1346534864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

Licenses✔ Licensed in CA · 17443✔ Licensed in OR · DO191076✔ Licensed in PA · OD019097✔ Licensed in NH · 18849✔ Licensed in ND · 15039✔ Licensed in OH · 34.013330✔ Licensed in MI · 5101023728✔ Licensed in CT · 51008✔ Licensed in TX · TM00756✔ Licensed in NY · 293760✔ Licensed in MO · 2020005820✔ Licensed in FL · OS15070

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

11215 METRO PKWY STE 1, Fort Myers, FL 33966

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Secondary Practice Locations 5

Location 11250 S Cedar Crest Blvd Ste 405Allentown, PA 18103-6224 · Phone (610) 402-8420

Location 2630 Eaton AveHamilton, OH 45013-2767 · Phone (513) 867-2000 · Fax (513) 867-2119

Location 3172 Kinsley StNashua, NH 03060-3648 · Phone (603) 882-3000 · Fax (603) 889-3774

Location 42801 N Gantenbein AvePortland, OR 97227-1623 · Phone (503) 413-8407

Location 52790 Clay Edwards Dr Ste 1235North Kansas City, MO 64116-3276 · Phone (816) 472-5157 · Fax (816) 472-7201

Other Identifiers 1

Medicaid3116006NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, CareSource, Medica and more.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

Michelle M. Boudreau D.o. 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 ID7416182480

PECOS Enrollment IDI20190916003417, I20240207003980, I20260603000425

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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

34 services34 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

20 services20 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

13 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33966 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

STANLEY GARKEN LUE MD

Psychiatry & Neurology (Neurology)