JENNIFER KATHARINE BOUDREAUX (MSN, CPNP-PC, PMHS) – Pediatric Nurse Practitioner, NPI 1790038495
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Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JENNIFER KATHARINE BOUDREAUX (MSN, CPNP-PC, PMHS)
PO BOX 3158
PORTLAND, OR 972083158
Phone: (541) 732-8400
Fax: (541) 732-8401
Type: Mailing
920 ROYAL AVE
MEDFORD, OR 975046169
Phone: (541) 732-8400
Fax: (541) 732-8401
Type: Location
104 CHERRYBARK DR
JACKSONVILLE, NC 285409360
Phone: (541) 324-3648
Fax: (541) 227-2807
Type: Mailing
33 N CENTRAL AVE STE 317
MEDFORD, OR 975015939
Phone: (541) 227-2808
Fax: (541) 227-2807
Type: Location
1744 E MCANDREWS RD STE B
MEDFORD, OR 975045576
Phone: (541) 776-0821
Fax: (541) 776-5011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $1,887.
Total Amount is formed as General ($1,887) + Research ($0) + Ownership ($0) = $1,887.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: LivaNova USA, Inc. ($1,843).
Total Amount
$1,887
General + Research + Ownership
Payments
15
Total payment records
General Amount
$1,887
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LivaNova USA, Inc. | $1,843 |
| UCB, Inc. | $31 |
| Otsuka America Pharmaceutical, Inc. | $13 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine, Critical Care (Intensivists) | OR | |
| - | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| Infectious Disease | NY | |
| Internal Medicine | OR | |
| - | OR |
Reviews
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