MARNIE THERESA BUDREAU
NPI 1538697750
Social Worker - Clinical in Springfield, MA
About Marnie Theresa Budreau NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARNIE THERESA BUDREAU (NPI 1538697750) is an individual clinical provider in Springfield, Massachusetts and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Marnie Theresa Budreau 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
2Medicare enrollment records show Marnie Budreau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Boca Raton, FL 33428
- Reassigned Medicare billing, Florida enrollment
- 48 clinicians in this Medicare group
Miami, FL 33130
- Reassigned Medicare billing, Florida and Massachusetts enrollments
- 3,079 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 01104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPRINGFIELD, MA 01104
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 Marnie Budreau's NPI number?
The NPI number for Marnie Budreau is 1538697750. It was assigned to this individual provider in the NPPES registry on June 1, 2017.
Where is Marnie Budreau located?
Marnie Budreau practices at 417 Liberty St, Springfield, MA 01104. The listed phone number is (413) 733-6661.
What is Marnie Budreau's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Marnie Budreau enrolled in Medicare?
Yes. Marnie Budreau 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 Marnie Budreau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marnie Budreau reassigns Medicare benefits to 2 organizations: Boca Raton Psychiatry, LLC (Boca Raton, FL) and Grow Healthcare Group PA (Miami, FL). 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 Marnie Budreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marnie Budreau accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Harvard Pilgrim Health Care and 1 other insurer list Marnie Budreau 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 Marnie Budreau was last updated on September 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Marnie Theresa Budreau · NPI 1538697750
Clinical provider in Springfield, Massachusetts. Individual provider, active in the CMS NPPES registry since June 1, 2017.
## Identity
- **NPI:** 1538697750 (Entity type: Individual)
- **Enumerated:** June 1, 2017
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **Sole proprietor:** No
## Practice location
- **Address:** 417 LIBERTY ST, Springfield, MA 01104-3736
- **Phone:** (413) 733-6661 · **Fax:** (413) 733-7841
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Boca Raton Psychiatry, LLC (NPI 1275056616, Boca Raton, FL); Grow Healthcare Group PA (NPI 1245845932, Miami, FL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 18, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1538697750) · Data from the CMS NPPES public registry.