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MELINDA BOUDREAU
NPI 1912883265
Nurse Practitioner in Riverview, FL

Active since August 13, 2025PECOS EnrolledAccepts Medicare Assignment
12635 EVINGTON POINT DR, RIVERVIEW, FL 33579(813) 394-7907 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Melinda Boudreau NPPES

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

MELINDA BOUDREAU (NPI 1912883265) is an individual nurse practitioner in Riverview, Florida, licensed in Florida (11041605) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1912883265
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMELINDA BOUDREAU
Location Address12635 EVINGTON POINT DRRiverview, FL 33579-4060
Mailing Address12635 Evington Point DrRiverview, FL 33579-4060
Phone(813) 394-7907
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
✔ NPI 1912883265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11041605
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12635 EVINGTON POINT DR, Riverview, FL 33579
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Other Names 1

Former Name (1)Melinda Walser-boudreau

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

Melinda 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 ID3678039906
PECOS Enrollment IDI20260728001286
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.

Medicare Billing Reassignment

Medicare enrollment records show Melinda Boudreau reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Olive Health LLC
14 mi
Primary Care
4912 W TRAPNELL RD
Plant City, FL 33566
  • Reassigned Medicare billing, Florida enrollment
  • 13 clinicians in this Medicare group
NPI 1124612817 (813) 417-4767

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 33579 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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 Melinda Boudreau's NPI number?

The NPI number for Melinda Boudreau is 1912883265. It was assigned to this individual provider in the NPPES registry on August 13, 2025. The provider is also known as Melinda Walser-Boudreau.

Where is Melinda Boudreau located?

Melinda Boudreau practices at 12635 Evington Point Dr, Riverview, FL 33579. The listed phone number is (813) 394-7907.

What is Melinda Boudreau's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Melinda Boudreau enrolled in Medicare?

Yes. Melinda 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 organization bills Medicare for Melinda Boudreau's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Melinda Boudreau reassigns Medicare benefits to Olive Health LLC (Plant City, FL). The 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 Melinda Boudreau's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Melinda Boudreau was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.