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MS. SHERYLLYN BOULAY PA-C
NPI 1063806834
Physician Assistant - Medical in Tampa, FL

Active since March 19, 2015PECOS Enrolled
3001 W DR MARTIN LUTHER KING JR BLVD, 1ST FLOOR CHILDREN'S ADM, TAMPA, FL 33607(813) 870-4619(813) 554-8956 Get Directions Write a Review

NPPES record last updated: April 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2023, Apr 12, 2017 (2 updates tracked since 2017).

About Ms. Sheryllyn Boulay Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. SHERYLLYN BOULAY PA-C (NPI 1063806834) is an individual medical provider in Tampa, Florida and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063806834
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. SHERYLLYN BOULAYCredential: PA-C
Location Address3001 W DR MARTIN LUTHER KING JR BLVD, 1ST FLOOR CHILDREN'S ADMTampa, FL 33607-6307
Mailing Address3001 W Dr Mlk BlvdTampa, FL 33607-6307 · (813) 554-8527 · Fax (813) 554-8496
Phone(813) 870-4619
Fax(813) 554-8956
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 19, 2015
Last NPPES UpdateApril 3, 20232 updates tracked since enumeration
NPPES CertifiedApril 3, 2023
✔ NPI 1063806834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
3001 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607
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Other Identifiers 1

Medicaid015859700FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Sheryllyn Boulay Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163992462
PECOS Enrollment IDI20260528001188
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KAYLA EDMONDS CAA
Anesthesiologist Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 350-7244
BAYCARE MEDICAL GROUP INC
Pediatrics (Pediatric Critical Care Medicine)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4619
ROLA ASHOUR
Nurse Practitioner (Family)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4000
HEIDI RUTH HESS ARNP
Nurse Practitioner
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 554-8343
YASMEEN HASHIMIE
Internal Medicine (Hematology & Oncology)
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 321-6589
MS. JULIA CHUNG AA
Anesthesiologist Assistant
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 350-7244
DR. MARK D VAALER M.D.
Internal Medicine
3001 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Hillsborough County (813) 870-4020
DR. MARIO FRANCISCO HERNANDEZ MENDEZ M.D.
Family Medicine
3001 W DR MARTIN LUTHER KING JR BLVD, MS - 3075
TAMPA, FL 33607
Hillsborough County (813) 870-4933

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheryllyn Boulay's NPI number?

The NPI number for Sheryllyn Boulay is 1063806834. It was assigned to this individual provider in the NPPES registry on March 19, 2015.

Where is Sheryllyn Boulay located?

Sheryllyn Boulay practices at 3001 W Dr Martin Luther King Jr Blvd 1st Floor Children's Adm, Tampa, FL 33607. The listed phone number is (813) 870-4619.

What is Sheryllyn Boulay's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Sheryllyn Boulay enrolled in Medicare?

Yes. Sheryllyn Boulay is registered in the Medicare PECOS enrollment system.

What insurance does Sheryllyn Boulay accept?

Health plans from AvMed list Sheryllyn Boulay as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheryllyn Boulay was last updated on April 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.