DR. SHEILA BOULDIN M.D.
NPI 1164467643
Obstetrics & Gynecology in Jackson, MS

Q: What is Sheila Bouldin's NPI number?

The NPI number for Sheila Bouldin is 1164467643. It was assigned to this individual provider in the NPPES registry on June 18, 2006.

Q: What is Sheila Bouldin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Sheila Bouldin was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since June 18, 2006PECOS EnrolledAccepts Medicare Assignment

69.83/100

CMS Quality Rating

2500 N STATE ST, JACKSON, MS 39216(601) 984-5373(601) 984-5476 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Sheila Bouldin M.d. NPPES

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

DR. SHEILA BOULDIN M.D. (NPI 1164467643) is an individual obstetrics & gynecology provider in Jackson, Mississippi, licensed in Mississippi (15149) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Mississippi Med Center, and is a graduate of University Of South Florida College Of Medicine (1991).

NPPES Registry Identity

NPI1164467643

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. SHEILA BOULDINCredential: M.D.

Location Address2500 N STATE STJackson, MS 39216-4500

Mailing Address2500 N State StJackson, MS 39216-4500 · (601) 984-5373 · Fax (601) 984-5476

Phone(601) 984-5373

Fax(601) 984-5476

Sole ProprietorNo

Medical School CMSUniversity Of South Florida College Of MedicineGraduated 1991

Enumeration DateJune 18, 2006

Last NPPES UpdateNovember 12, 2015

✔ NPI 1164467643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MS · 15149

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

2500 N STATE ST, Jackson, MS 39216

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Other Identifiers 10

Medicaid178135MS

Medicare PIN302I167015MS

Other512G700003MS · Up Medicare Group Prov #

Medicare UPING92734MS

Medicare ID-Type Unspecified160000509MS · Mcre Individual Number

Medicare ID-Type UnspecifiedC00319MS · Mcre Group Number

Other512I160015MS · Medicare Ptan

Other160056544MS · Rr Medicare Number

Medicaid00120467MS

Other08103071MS · Up Medicaid Group Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Dr. Sheila Bouldin M.d. 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 ID4284724394

PECOS Enrollment IDI20071213000078

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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

52 services52 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

13 services13 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Mississippi Med Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipGovernment - State

CMS Certification Number250001

Location2500 N State StJackson, MS 39216 · Hinds County

Emergency services Birthing friendly

Mississippi Baptist Medical Center

Acute Care Hospitals · Jackson, MS

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number250102

Location1225 N State StJackson, MS 39202 · Hinds County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39216 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

$120.41 typical visit price

range $51.65 – $159.18

Typical copayment $30.10 (range $12.91 – $39.79)

Most-billed visit code 99204

Established Patient

$64.96 typical visit price

range $16.15 – $129.61

Typical copayment $16.24 (range $4.03 – $32.40)

Most-billed visit code 99213

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.

69.83/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

56.08

Promoting Interoperability

Improvement Activities

Cost

48.31

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.

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