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MRS. JEANNE M BOUDRIEAU ARNP
NPI 1669445359
Nurse Practitioner - Family in Lacey, WA

Active since February 11, 2006PECOS Enrolled
1450 NORTHWEST LN SE, PROVIDENCE ST. PETER CLINIC AT PANORAMA, LACEY, WA 98503(360) 491-4460(360) 491-3090 Get Directions Write a Review

NPPES record last updated: February 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Jeanne M Boudrieau Arnp NPPES

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

MRS. JEANNE M BOUDRIEAU ARNP (NPI 1669445359) is an individual family provider in Lacey, Washington, licensed in Washington (AP30004530) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669445359
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JEANNE M BOUDRIEAUCredential: ARNP
Location Address1450 NORTHWEST LN SE, PROVIDENCE ST. PETER CLINIC AT PANORAMALacey, WA 98503-6908
Mailing Address1450 Northwest Ln Se, Providence St. Peter Clinic At PanoramaLacey, WA 98503-6908 · (360) 491-4460 · Fax (360) 491-3090
Phone(360) 491-4460
Fax(360) 491-3090
Sole ProprietorNo
Enumeration DateFebruary 11, 2006
Last NPPES UpdateFebruary 27, 2014
✔ NPI 1669445359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WA · AP30004530
1450 NORTHWEST LN SE, Lacey, WA 98503
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedAB03626WA
Medicare UPINS53011WA
Medicaid9621798WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jeanne M Boudrieau Arnp 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 98503 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$19.83 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$111.16 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

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

ANA MARIA MIHALCEA MD
Internal Medicine
1450 NORTHWEST LN SE, SUITE A
LACEY, WA 98503
Thurston County (360) 491-4460
DR. DAVID LYNN FAIRBROOK MD
Internal Medicine (Geriatric Medicine)
1450 NORTHWEST LN SE
LACEY, WA 98503
Thurston County (360) 491-4460
LEE J EDWARDS DDS PLLC
Dentist
1450 NORTHWEST LN SE
LACEY, WA 98503
Thurston County (360) 491-4343
MRS. LAUREL ANDVIK BACKSTROM P.T.
Physical Therapist
1450 NORTHWEST LN SE, SUITE B
LACEY, WA 98503
Thurston County (360) 456-5154
DR. LEE JOHANNA EDWARDS DDS
Dentist
1450 NORTHWEST LN SE, SUITE C
LACEY, WA 98503
Thurston County (360) 491-4343

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 Jeanne Boudrieau's NPI number?

The NPI number for Jeanne Boudrieau is 1669445359. It was assigned to this individual provider in the NPPES registry on February 11, 2006.

Where is Jeanne Boudrieau located?

Jeanne Boudrieau practices at 1450 Northwest Ln SE Providence St. Peter Clinic At Panorama, Lacey, WA 98503. The listed phone number is (360) 491-4460.

What is Jeanne Boudrieau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeanne Boudrieau enrolled in Medicare?

Yes. Jeanne Boudrieau is registered in the Medicare PECOS enrollment system.

What insurance does Jeanne Boudrieau accept?

Health plans from Providence Health Plan list Jeanne Boudrieau 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 Jeanne Boudrieau was last updated on February 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.