MS. Mary Ellen Boudreau, NPAGPCNP-BC
MS. Mary Ellen Boudreau, NPAGPCNP-BC is a Nurse Practitioner in Mason, Michigan. Qualified in 2013, 13 years ago. Practices with Edward W Sparrow Hospital Association, a 694-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.
- Years since qualifying
- 13
- Licensed in
- MI
- In the registry since
- 2013
- Specialties on file
- 3
Practice location Address checks out
790 E Columbia StMason, MI 48854-1387 Not confirmed with CMS for 12 years — call before visiting
Phone: (517) 244-0120
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Nurse Practitioner (primary) | Taxonomy 363LP2300X · Licence 4704265711 (MI) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X · Licence 6801065539 (MI) |
| Community Health Registered Nurse | Taxonomy 163WC1500X · Licence 4704265711 (MI) |
Record details
| NPI number | 1730523598 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | NPAGPCNP-BC |
| Sole proprietor | No |
| NPI enumerated | April 24, 2013 |
| Last updated in NPPES | January 29, 2014 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2013 (13 years in practice) |
| Group practice | Edward W Sparrow Hospital Association — 694 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 3 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 298 |
|---|---|
| Services billed | 1,411 |
| Average patient age | 76 |
Payments from drug and device companies, 2025
| Food and Beverage | $3,257 |
|---|
Practises at
- Edward W Sparrow Hospital Hospital · Lansing, MI · listed as Edward W. Sparrow Hospital
- McLaren Greater Lansing Hospital · Lansing, MI
- University Of Michigan Health- Sparrow Clinton Hospital · Saint Johns, MI
- Elara Caring Home health agency · Jackson, MI
- Sparrow Home Care Home health agency · Lansing, MI
Colleagues at Edward W Sparrow Hospital Association
- Mrs. Teresa Ann Beard, FNP Family Nurse Practitioner · Owosso, MI
- Kimberly Burcar, MD Anesthesiology Physician · Ann Arbor, MI
- Kathryn Opal Das, DO Internal Medicine Physician · Lansing, MI
- Murtaza Diwan, MD Critical Care Medicine (Anesthesiology) Physician · Ann Arbor, MI
- Mrs. Renee Autumn Halliday, PA-C Medical Physician Assistant · Lansing, MI
- Mrs. Rachel Lynn Henderson, CRNA Certified Registered Nurse Anesthetist · Ypsilanti, MI
- Dr. Chad Allen Link, DO Cardiovascular Disease Physician · Lansing, MI
- Mr. Adam Francis Montero, PA-C Physician Assistant · Okemos, MI
- Katherine Nelson Family Nurse Practitioner · Lansing, MI
- Kathleen Reinke Physician Assistant · Mason, MI
- Mr. Micheal Evans Shafer, MS Clinical Psychologist · Lansing, MI
- Amy Wimberly-Kacel, NP Family Nurse Practitioner · East Lansing, MI