MS. AMY BOUDREAU (APRN) – Nurse Practitioner, NPI 1194729913

MS. AMY BOUDREAU (APRN) is a healthcare provider. based in Trumbull, Connecticut. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 002411 (CT). The NPI Number for MS. AMY BOUDREAU (APRN) is 1194729913

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MS. AMY BOUDREAU (APRN)
NPI
1194729913
Phone
(203) 445-7093
Address
115 TECHNOLOGY DR
Enumeration Date
9 June 2005
Last Update Date
1 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
20386754204405
Graduation Year
2000 (26 years ago)
PAC ID
9133191836
Group Practice PAC ID
9436061736
Professional Enrollment ID
I20040812000411
Address ID
CT065114405NE1450XBXXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

4,191 NURSE PRACTITIONER in CT

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Provider Addresses for MS. AMY BOUDREAU (APRN)

  • 115 Technology Drive, Technology Drive, Trumbull, Fairfield County, Connecticut, 06468, United States

    SUITE 300

    TRUMBULL, CT 066116337

    Phone: (203) 445-7093

    Fax: (203) 445-7094

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $62.

Total Amount is formed as General ($62) + Research ($0) + Ownership ($0) = $62.

Last reported payment date: 2024-06-26 • Largest payer in this snapshot: Medtronic, Inc. ($62).

Total Amount

$62

General + Research + Ownership

Payments

3

Total payment records

General Amount

$62

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medtronic, Inc.$62
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-08-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040812000411INurse PractitionerCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93294Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days504280$0
99214Established patient office or other outpatient visit, 30-39 minutes391277$0
93295Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days255133$0
93280Programming of dual lead pacemaker system149120$0
93298Evaluation of cardiac rhythm monitor system, remote up to 30 days14937$0
View full utilization report →

Insurance plans in this area (ZIP 06611)

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Provider's Procedures

MS. AMY BOUDREAU (APRN) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERCT93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report322264
NURSE PRACTITIONERCT93280Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report213162
NURSE PRACTITIONERCT93284Evaluation, testing and programming adjustment of defibrillator with analysis, review and report12283

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9436061736View full group profile
NameSpecialtyState
Interventional Cardiology, Cardiovascular Disease (Cardiology)CT
H E M A T O L O G Y/ O N C O L O G YCT
Internal Medicine, NephrologySC
-CT
-NC
Internal MedicineCT
-CT
Cardiac SurgeryCT
-CT
-CT

Reviews

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Frequently asked questions

What unique ID ties claims to MS. AMY BOUDREAU (APRN)?
NPI 1194729913 is assigned to MS. AMY BOUDREAU (APRN) under the national enumeration system.
Does this profile mean MS. AMY BOUDREAU (APRN) is currently active?
Yes — MS. AMY BOUDREAU (APRN) appears active in the national provider directory.
What field does MS. AMY BOUDREAU (APRN) work in?
You can think of MS. AMY BOUDREAU (APRN) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is MS. AMY BOUDREAU (APRN)'s primary listing?
We display Trumbull, Connecticut because that is what the record indicates for MS. AMY BOUDREAU (APRN).
Is MS. AMY BOUDREAU (APRN) a real provider?
This page reflects official NPPES data for NPI 1194729913. Always confirm identity and privileges with the practice and licensing boards.

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