MRS. LARA R. BOUVE FNP - B.C.
NPI 1073750675
Nurse Practitioner - Family in San Diego, CA

Active since January 19, 2009PECOS EnrolledAccepts Medicare Assignment
75.06/100
CMS Quality Rating
4060 4TH AVE, SUITE 505, SAN DIEGO, CA 92103(619) 298-1318(619) 298-0843 Get Directions Write a Review

NPPES record last updated: February 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Lara R. Bouve Fnp - B.c. NPPES

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

MRS. LARA R. BOUVE FNP - B.C. (NPI 1073750675) is an individual family provider in San Diego, California, licensed in California (20664) and active in the NPI registry since January 2009. She is enrolled in Medicare PECOS, is affiliated with Regional One Health, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1073750675
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LARA R. BOUVECredential: FNP - B.C.
Location Address4060 4TH AVE, SUITE 505San Diego, CA 92103-2116
Mailing Address4060 4th Ave, Suite 505San Diego, CA 92103-2116 · (619) 298-1318 · Fax (619) 298-0843
Fax(619) 298-0843
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 19, 2009
Last NPPES UpdateFebruary 3, 2012
NPI 1073750675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in CA · 20664 Licensed in FL · 2222592 Licensed in TN · 6980 Licensed in CO · 5985
4060 4TH AVE, San Diego, CA 92103

Other Identifiers 2

Medicare PINFS452ZCA
Medicare PINCO304643CO

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Lara R. Bouve Fnp - B.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4981642980
PECOS Enrollment IDI20050420000845
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
35 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Regional One Health

Acute Care Hospitals · Memphis, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440152
Location877 Jefferson AvenueMemphis, TN 38103 · Shelby County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.46
Improvement Activities40
Cost71.87

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers12 claims28 services$4.88 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers15 claims15 services$5.76 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner (Family)
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
Physician Assistant
4060 4TH AVE, 7TH FLOOR
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE
SAN DIEGO, CA 92103
Internal Medicine (Gastroenterology)
4060 4TH AVE, #240
SAN DIEGO, CA 92103
Clinic/Center (Multi-Specialty)
4060 4TH AVE, 508
SAN DIEGO, CA 92103
Urology
4060 4TH AVE, SUITE 310
SAN DIEGO, CA 92103
Physical Therapist
4060 4TH AVE, #105
SAN DIEGO, CA 92103
Specialist/Technologist (Athletic Trainer)
4060 4TH AVE, SUITE 105
SAN DIEGO, CA 92103

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 Lara Bouve's NPI number?

The NPI number for Lara Bouve is 1073750675. It was assigned to this individual provider in the NPPES registry on January 19, 2009.

Where is Lara Bouve located?

Lara Bouve practices at 4060 4th Ave Suite 505, San Diego, CA 92103. The listed phone number is (619) 298-1318.

What is Lara Bouve's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lara Bouve enrolled in Medicare?

Yes. Lara Bouve is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lara Bouve accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Lara Bouve 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.

Is Lara Bouve affiliated with any hospitals?

According to CMS data, Lara Bouve is affiliated with Regional One Health.

When was this NPI record last updated?

The NPPES record for Lara Bouve was last updated on February 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.