GENEVIEVE JOSEE BOUDREAU MD
NPI 1407641137
Student in an Organized Health Care Education/Training Program in Wilmington, NC
- Individual
- Female
- Student in an Organized Health Care Educ...
- PECOS Enrolled
About GENEVIEVE BOUDREAU
This page provides the complete NPI Profile along with additional information for Genevieve Boudreau, a primary care provider established in Wilmington, North Carolina with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1407641137 assigned on April 2025. The practitioner's primary taxonomy code is 390200000X with license number RTL26-0888 (NC). The provider is registered as an individual and her NPI record was last updated July 2026.
- NPI
- 1407641137 Verify this NPI
- Provider Name
- GENEVIEVE JOSEE BOUDREAU MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2131 S 17TH ST WILMINGTON, NC 28401
- Location Phone
- (910) 343-7000
- Location Fax
- (910) 667-5650
- Mailing Address
- PO BOX 936857 ATLANTA, GA 31193
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-12-2025
- Last Update Date
- 07-09-2026
- Code Navigator
A primary care provider (PCP) like Genevieve Boudreau sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Student in an Organized Health Care Education/Training Program
- Taxonomy Code
- 390200000X
- Type
- Student, Health Care
- License No.
- RTL26-0888
- License State
- NC
- Taxonomy Description
- An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | 101517851 (WI) |
Medicare Participation & PECOS Enrollment Status
Genevieve Boudreau is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
WILMINGTON, NC 28401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407641137, enumerated as an "individual" on April 12, 2025.
The provider is located at 2131 S 17TH ST WILMINGTON, NC 28401 and the phone number is (910) 343-7000.
Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
