Grace Boudreau, MD
NPI 1407640790 · Student in an Organized Health Care Education/Training Program · Lutz, FL
Enrolled with Medicare as Order and Referring Only - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grace Boudreau, MD is a Student in an Organized Health Care Education/Training Program provider in Lutz, FL (NPI 1407640790).
Provider details
- NPI number
- 1407640790
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-04-09
- Last updated
- 2025-06-30
- Certified
- 2025-06-30
Frequently asked questions
- What is Grace Boudreau's NPI number?
- Grace Boudreau's National Provider Identifier (NPI) is 1407640790, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Grace Boudreau's specialty?
- Grace Boudreau is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Grace Boudreau located?
- Grace Boudreau's practice location on file with NPPES is 21808 State Road 54, Lutz, FL 33549-6923.
- What is Grace Boudreau's phone number?
- The practice phone number listed in the NPPES registry for Grace Boudreau is (813) 922-8621.
- Does Grace Boudreau accept Medicare?
- Grace Boudreau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Grace Boudreau's NPI active?
- Yes — Grace Boudreau's NPI (1407640790) is active in the NPPES registry as of the last update on 2025-06-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.