Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominique Boudreau Boadwine, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265956908

Dominique Boudreau Boadwine, MD is an Obstetrics/Gynecology in Omaha, Nebraska. Qualified in 2017, 9 years ago. Practices with Avera McKennan, a 962-clinician group and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
9
Licensed in
NE
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7710 Mercy Rd Ste 602
Omaha, NE 68124-2371
Phone: (402) 280-4438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 8080 (NE)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265956908
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2017
Last updated in NPPESAugust 2, 2017
Mailing address7710 Mercy Rd Ste 602, Omaha, NE 68124-2371

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Avera McKennan — 962 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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