MS. MARY ELLEN BOUDREAU NP (AGPCNP-BC)
NPI 1730523598
Nurse Practitioner - Primary Care in Mason, MI
About Ms. Mary Ellen Boudreau Np (agpcnp-bc) NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. MARY ELLEN BOUDREAU NP (AGPCNP-BC) (NPI 1730523598) is an individual primary care provider in Mason, Michigan, licensed in Michigan (4704265711) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses 3
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
Ms. Mary Ellen Boudreau Np (agpcnp-bc) 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 Mary Boudreau reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lansing, MI 48912
- Reassigned Medicare billing, Michigan enrollment
- 20 clinicians in this Medicare group
Mount Pleasant, MI 48858
- Reassigned Medicare billing, Michigan enrollment
- 9 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.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mclaren Greater Lansing
Acute Care Hospitals · Lansing, MIEdward W Sparrow Hospital
Acute Care Hospitals · Lansing, MISparrow Clinton Hospital
Critical Access Hospitals · Saint Johns, MISparrow Ionia Hospital
Critical Access Hospitals · Ionia, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48854 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
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 Mary Boudreau's NPI number?
The NPI number for Mary Boudreau is 1730523598. It was assigned to this individual provider in the NPPES registry on April 24, 2013.
Where is Mary Boudreau located?
Mary Boudreau practices at 790 E Columbia St, Mason, MI 48854. The listed phone number is (517) 244-0120.
What is Mary Boudreau's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.
Is Mary Boudreau enrolled in Medicare?
Yes. Mary 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 Mary Boudreau's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Boudreau reassigns Medicare benefits to 2 organizations: Edward W Sparrow Hospital Association (Lansing, MI) and Central Michigan District Health Department (Mount Pleasant, MI). 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 Mary Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Boudreau accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 1 other insurer list Mary 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.
Is Mary Boudreau affiliated with any hospitals?
According to CMS data, Mary Boudreau is affiliated with Mclaren Greater Lansing, Edward W Sparrow Hospital, Sparrow Clinton Hospital and Sparrow Ionia Hospital.
When was this NPI record last updated?
The NPPES record for Mary Boudreau was last updated on January 29, 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.
# Ms. Mary Ellen Boudreau, NP (AGPCNP-BC) · NPI 1730523598
Primary Care physician in Mason, Michigan. Individual provider, active in the CMS NPPES registry since April 24, 2013.
## Identity
- **NPI:** 1730523598 (Entity type: Individual)
- **Enumerated:** April 24, 2013
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704265711 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 790 E COLUMBIA ST, Mason, MI 48854-1387
- **Phone:** (517) 244-0120
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Edward W Sparrow Hospital Association (NPI 1043562465, Lansing, MI); Central Michigan District Health Department (NPI 1245283977, Mount Pleasant, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** January 29, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1730523598) · Data from the CMS NPPES public registry.