Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Melissa Beth Boudreaux, PA-C

Individual provider Physician Assistant · NPI 1164490116

Mrs. Melissa Beth Boudreaux, PA-C is a Physician Assistant in Bradenton, Florida. Qualified in 2004, 22 years ago. Practices with Walsh Family Medicine LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1040 River Heritage Blvd Ste 204
Bradenton, FL 34212-6348
Phone: (941) 917-7100
Fax: (941) 917-7142
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA9102893 (FL)

Record details

NPI number1164490116
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 8, 2006
Last updated in NPPESMay 15, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Walsh Family Medicine Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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