ANN BOUDREAUX M.D.
NPI 1487655569
Emergency Medicine in Ft Myers, FL

Active since August 10, 2005PECOS Enrolled
4771 S CLEVELAND AVE, FT MYERS, FL 33907(239) 343-9800(239) 343-9848 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2023, Mar 24, 2021, Jul 21, 2020 and 1 more (4 updates tracked since 2020).

About Ann Boudreaux M.d. NPPES

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

ANN BOUDREAUX M.D. (NPI 1487655569) is an individual emergency medicine provider in Ft Myers, Florida, licensed in Florida (ME0063794) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487655569
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameANN BOUDREAUXCredential: M.D.
Location Address4771 S CLEVELAND AVEFt Myers, FL 33907-1317
Mailing AddressPo Box 2147Ft Myers, FL 33902-2147 · (239) 343-9800 · Fax (239) 343-9848
Fax(239) 343-9848
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateOctober 11, 20234 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1487655569 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 · ME0063794
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 ListedInternal MedicineTaxonomy 207R00000X · License ME063794 (FL)
4771 S CLEVELAND AVE, Ft Myers, FL 33907

Other Identifiers 1

Medicaid259188000FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ann Boudreaux M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33907 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
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.

Nurse Practitioner (Family)
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
Physician Assistant
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
Nurse Practitioner (Family)
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
Physician Assistant
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
Nurse Practitioner (Family)
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
Family Medicine
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
Nurse Practitioner (Family)
4771 S CLEVELAND AVE
FORT MYERS, FL 33907
General Practice
4771 S CLEVELAND AVE
FORT MYERS, FL 33907

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 Ann Boudreaux's NPI number?

The NPI number for Ann Boudreaux is 1487655569. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Ann Boudreaux located?

Ann Boudreaux practices at 4771 S Cleveland Ave, Ft Myers, FL 33907. The listed phone number is (239) 343-9800.

What is Ann Boudreaux's specialty?

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

Is Ann Boudreaux enrolled in Medicare?

Yes. Ann Boudreaux is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ann Boudreaux was last updated on October 11, 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.