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

Q: 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.

Q: What is Ann Boudreaux's specialty?

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

Q: 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 3 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 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: October 18, 2026.

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

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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

Phone(239) 343-9800

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

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Other Identifiers 1

Medicaid259188000FL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Ann Boudreaux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lee Memorial Health System

2.4 mi

Emergency Medicine

2780 CLEVELAND AVE, SUITE 705
Fort Myers, FL 33901

Reassigned Medicare billing, Florida enrollment
1,345 clinicians in this Medicare group

NPI 1134222532 (239) 334-5244

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 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.

SANDRA L ALLEN APRN FNP-C

Nurse Practitioner (Family)