LYNE C LIBOIRON-BOUIE NP
NPI 1194506105
Nurse Practitioner - Family in Maple Valley, WA

Q: What is Lyne Liboiron-bouie's NPI number?

The NPI number for Lyne Liboiron-bouie is 1194506105. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Q: What is Lyne Liboiron-bouie's specialty?

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

Active since October 06, 2023PECOS Enrolled

24080 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038(253) 372-7680 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Lyne C Liboiron-bouie Np NPPES

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

LYNE C LIBOIRON-BOUIE NP (NPI 1194506105) is an individual family provider in Maple Valley, Washington, licensed in Washington (61489910) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194506105

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLYNE C LIBOIRON-BOUIECredential: NP

Location Address24080 SE KENT KANGLEY RDMaple Valley, WA 98038-6851

Mailing Address12425 16th St EEdgewood, WA 98372-1687 · (512) 300-7346

Phone(253) 372-7680

Sole ProprietorNo

Enumeration DateOctober 6, 2023

NPPES CertifiedOctober 6, 2023

✔ NPI 1194506105 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

License✔ Licensed in WA · 61489910

24080 SE KENT KANGLEY RD, Maple Valley, WA 98038

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lyne C Liboiron-bouie Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

Medicare enrollment records show Lyne Liboiron-bouie reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multicare Health System

4.0 mi

Family Medicine

17700 SE 272ND ST
Covington, WA 98042

Reassigned Medicare billing, Washington enrollment
4,383 clinicians in this Medicare group

NPI 1093768657 (253) 372-7020

Rejuvenation Medical PLLC

16 mi

Family Medicine

2222 MERIDIAN AVE E STE A
Edgewood, WA 98371

Reassigned Medicare billing, Washington enrollment
19 clinicians in this Medicare group

NPI 1447712559 (206) 407-4171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

53 services27 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.

20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98038 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

$97.43 typical visit price

range $63.67 – $189.37

Typical copayment $24.35 (range $15.91 – $47.34)

Most-billed visit code 99203

Established Patient

$111.00 typical visit price

range $21.12 – $155.00

Typical copayment $27.75 (range $5.28 – $38.75)

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.

Other Providers at the Same Location NPPES 8

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

DR. DANIKA SVY VAN DYKE M.D.

Pediatrics