NICHOLAS BOUDREAU CRNA
NPI 1609497346
Nurse Anesthetist, Certified Registered in Orlando, FL

Active since May 05, 2020Accepts Medicare Assignment
104 FOREST CIR, ORLANDO, FL 32803(954) 649-6279 Get Directions Write a Review

NPPES record last updated: July 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 13, 2022, May 5, 2020 (2 updates tracked since 2020).

About Nicholas Boudreau Crna NPPES

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

NICHOLAS BOUDREAU CRNA (NPI 1609497346) is an individual nurse anesthetist, certified registered in Orlando, Florida, licensed in Florida (APRN11019743) and active in the NPI registry since May 2020. He is affiliated with Orlando Health and is a graduate of Other (2019).

NPPES Registry Identity

NPI1609497346
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameNICHOLAS BOUDREAUCredential: CRNA
Location Address104 FOREST CIROrlando, FL 32803-6248
Mailing Address104 Forest CirOrlando, FL 32803-6248 · (954) 649-6279
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 5, 2020
Last NPPES UpdateJuly 13, 20222 updates tracked since enumeration
NPPES CertifiedMay 31, 2022
✔ NPI 1609497346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in FL · APRN11019743✔ Licensed in FL · 11019743
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 9385003 (FL)
104 FOREST CIR, Orlando, FL 32803

Other Identifiers 1

OtherB360633910020FL · Drivers License

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

Nicholas Boudreau Crna 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.

PECOS PAC ID3779962261
PECOS Enrollment IDI20220613002355

Medicare Billing Reassignments

2

Medicare enrollment records show Nicholas Boudreau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
22 W UNDERWOOD ST
Orlando, FL 32806
  • Reassigned Medicare billing, Florida enrollment
  • 530 clinicians in this Medicare group
Anesthesiology
3241 SW 34TH ST
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 77 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
104 FOREST CIR
ORLANDO, FL 32803

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 Nicholas Boudreau's NPI number?

The NPI number for Nicholas Boudreau is 1609497346. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Nicholas Boudreau located?

Nicholas Boudreau practices at 104 Forest Cir, Orlando, FL 32803. The listed phone number is (954) 649-6279.

What is Nicholas Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Nicholas Boudreau enrolled in Medicare?

Yes. Nicholas 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 Nicholas Boudreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicholas Boudreau reassigns Medicare benefits to 2 organizations: Anesthesiologists Of Greater Orlando Inc (Orlando, FL) and Apollo Medical Group Of Ocala LLC (Ocala, 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 Nicholas Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Nicholas Boudreau affiliated with any hospitals?

According to CMS data, Nicholas Boudreau is affiliated with Orlando Health.

When was this NPI record last updated?

The NPPES record for Nicholas Boudreau was last updated on July 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.