Individual provider Active NPI

Michelle Renee Boudreaux, FNP-C

  • Family Nurse Practitioner
  • Metairie, LA
National Provider Identifier
1548137086
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
206662 Issued in LA
Practice address
111 Veterans Blvd Ste 404
Metairie, LA 70005-3079
Phone
(504) 899-1120
NPI assigned
Oct 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 206662 LA Primary

Addresses

Primary practice location

111 Veterans Blvd Ste 404
Metairie, LA 70005-3079

Mailing address

111 Veterans Blvd
Metairie, LA 70005-3028
Phone (504) 889-1120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260302003248 LA Practitioner - Nurse Practitioner 0648752477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Rheumatology Group, LLCGroup PAC ID 7911926704, 3 clinicians

Practice addresses (Care Compare)

111 Veterans Memorial Blvd
Suite 404
Metairie, LA 70005-3079
Phone 5048991120212

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
206662LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Rheumatology Group, LLC CurrentSince Jan 11, 2026 Accepting new patients

Locations

111 Veterans Memorial Blvd
Ste 404
Metairie, LA 70005
Phone (504) 899-1120

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BEDACA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1548137086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 VETERANS BLVD",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053028",
            "telephone_number": "504-889-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 VETERANS BLVD STE 404",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700053079",
            "telephone_number": "504-899-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUDREAUX",
        "first_name": "MICHELLE",
        "middle_name": "RENEE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "206662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.