DR. EDWARD DAVID BOUDREAU D.O.
NPI 1528014461
Emergency Medicine in Cheyenne Wells, CO
About Dr. Edward David Boudreau D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDWARD DAVID BOUDREAU D.O. (NPI 1528014461) is an individual emergency medicine provider in Cheyenne Wells, Colorado, licensed in Colorado (0063534) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Lewis Center, and is a graduate of Michigan State University College Of Osteopathic Medicine (1977).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Edward David 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.
Medicare Billing Reassignments
4Medicare enrollment records show Edward Boudreau reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cheyenne Wells, CO 80810
- Reassigned Medicare billing, Colorado enrollment
- Also billed through NPI 1366840688 (Colorado)
- 39 clinicians in this Medicare group
Sierra Vista, AZ 85635
- Reassigned Medicare billing, Arizona enrollment
- 239 clinicians in this Medicare group
Napoleon, OH 43545
- Reassigned Medicare billing, Ohio enrollment
- 36 clinicians in this Medicare group
Rockland, ME 04841
- Reassigned Medicare billing, Maine enrollment
- 59 clinicians in this Medicare group
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 80810 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Edward Boudreau's NPI number?
The NPI number for Edward Boudreau is 1528014461. It was assigned to this individual provider in the NPPES registry on May 25, 2006.
Where is Edward Boudreau located?
Edward Boudreau practices at 615 W 5th St N, Cheyenne Wells, CO 80810. The listed phone number is (719) 767-5661.
What is Edward Boudreau's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Edward Boudreau enrolled in Medicare?
Yes. Edward Boudreau is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Edward Boudreau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Boudreau reassigns Medicare benefits to 4 organizations: Keefe Memorial Health Service District (Cheyenne Wells, CO), Sound Physicians Emergency Medicine Of Arizona, Inc. (Sierra Vista, AZ), Ashland Emergency Group LLC (Napoleon, OH) and Penobscot Bay Medical Center (Rockland, ME). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Edward Boudreau accept?
Health plans from Cigna Healthcare and Taro Health list Edward Boudreau as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edward Boudreau was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Dr. Edward David Boudreau, D.O. · NPI 1528014461
Emergency Medicine physician in Cheyenne Wells, Colorado. Individual provider, active in the CMS NPPES registry since May 25, 2006.
## Identity
- **NPI:** 1528014461 (Entity type: Individual)
- **Enumerated:** May 25, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 0063534 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 615 W 5TH ST N, Cheyenne Wells, CO 80810
- **Phone:** (719) 767-5661 · **Fax:** (719) 767-5098
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Keefe Memorial Health Service District (NPI 1396143574, Cheyenne Wells, CO); Sound Physicians Emergency Medicine Of Arizona, Inc. (NPI 1700328663, Sierra Vista, AZ); Ashland Emergency Group LLC (NPI 1073246971, Napoleon, OH); Penobscot Bay Medical Center (NPI 1164668943, Rockland, ME) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Osteopathic Medicine, class of 1977
## Record status
- **NPPES last updated:** April 6, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1528014461) · Data from the CMS NPPES public registry.