JAMES BRYCE BOUDREAU
NPI 1689312787
Nurse Practitioner - Family in Columbia, MO

Q: What is James Boudreau's NPI number?

The NPI number for James Boudreau is 1689312787. It was assigned to this individual provider in the NPPES registry on May 26, 2022.

Q: What is James Boudreau's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for James Boudreau was last updated on June 13, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 26, 2022PECOS EnrolledAccepts Medicare Assignment

1600 E BROADWAY, COLUMBIA, MO 65201(573) 815-8000 Get Directions Write a Review

NPPES record last updated: June 13, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 6, 2022, May 26, 2022 (2 updates tracked since 2022).

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About James Bryce Boudreau NPPES

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

JAMES BRYCE BOUDREAU (NPI 1689312787) is an individual family provider in Columbia, Missouri, licensed in Missouri (2022021020) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS, is affiliated with Boone Hospital Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689312787

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameJAMES BRYCE BOUDREAU

Location Address1600 E BROADWAYColumbia, MO 65201-5844

Mailing Address1600 E BroadwayColumbia, MO 65201-5844 · (573) 815-8000

Phone(573) 815-8000

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateMay 26, 2022

Last NPPES UpdateJune 13, 20222 updates tracked since enumeration

NPPES CertifiedJune 13, 2022

✔ NPI 1689312787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MO · 2022021020✔ Licensed in MO · 2022013516

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 2018007575 (MO)

1600 E BROADWAY, Columbia, MO 65201

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Bryce Boudreau 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 ID9739561812

PECOS Enrollment IDI20220805002064

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Repair of groin hernia using an endoscope 49650

This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.

31 services31 patients

Repair of hernia of muscle at esophagus and stomach with implantation of mesh using an endoscope 43282

This procedure fixes a hernia, a bulge or tear, in the muscle where the esophagus meets the stomach. Using an endoscope, a thin tube with a camera, a mesh is implanted to strengthen the area and prevent future hernias.

28 services28 patients

Removal of gallbladder using an endoscope 47562

This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.

25 services25 patients

Hospital Affiliations CMS Care Compare

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

Boone Hospital Center

Acute Care Hospitals · Columbia, MO

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number260068

Location1600 E BroadwayColumbia, MO 65201 · Boone County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65201 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

WILLIAM C PARKS M.D.

Emergency Medicine