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SOUFYANE BOURASS
NPI 1306590633
Nurse Practitioner - Psychiatric/Mental Health in Saint Augustine, FL

Active since February 06, 2022PECOS EnrolledAccepts Medicare Assignment
1400 OLD DIXIE HWY, SAINT AUGUSTINE, FL 32084(904) 824-0724 Get Directions Write a Review

NPPES record last updated: August 3, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 3, 2022, Feb 6, 2022 (2 updates tracked since 2022).

About Soufyane Bourass NPPES

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

SOUFYANE BOURASS (NPI 1306590633) is an individual psychiatric/mental health provider in Saint Augustine, Florida, licensed in Florida (APRN11017959) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306590633
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSOUFYANE BOURASS
Location Address1400 OLD DIXIE HWYSaint Augustine, FL 32084-4190
Mailing Address88 Lochnagar Mountain DrSaint Johns, FL 32259-6672 · (812) 870-8683
Phone(904) 824-0724
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 6, 2022
Last NPPES UpdateAugust 3, 20222 updates tracked since enumeration
NPPES CertifiedJune 10, 2022
✔ NPI 1306590633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in FL · APRN11017959
1400 OLD DIXIE HWY, Saint Augustine, FL 32084
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Soufyane Bourass 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 ID2860853017
PECOS Enrollment IDI20230803002731
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

2

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

Elite Psychiatry Specialist
21 mi
Psychiatric/Mental Health
88 LOCHNAGAR MOUNTAIN DR
Saint Johns, FL 32259
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1326775016 (812) 870-8683
Grow Healthcare Group PA
291 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711

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 5

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.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
166 services29 patients
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.
108 services23 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.
79 services14 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
42 services18 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32084 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 6

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

ERIKA JEAN NYQUIST APRN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1400 OLD DIXIE HWY
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-2273
ROBERT JAMES DICKINSON APRN
Nurse Practitioner (Psychiatric/Mental Health)
1400 OLD DIXIE HWY
SAINT AUGUSTINE, FL 32084
St. Johns County (412) 853-4014
MYRALYNN H VAUGHN
Counselor (Mental Health)
1400 OLD DIXIE HWY
SAINT AUGUSTINE, FL 32084
St. Johns County (904) 829-2273
MS. SHARELL ANN HOLVERSON LMHC
Counselor (Mental Health)
1400 OLD DIXIE HWY
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-3373
EPIC COMMUNITY SERVICES, INC
Community/Behavioral Health
1400 OLD DIXIE HWY
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-2273
KAIDI TASTET-ORTIZ LCSW
Social Worker (Clinical)
1400 OLD DIXIE HWY
ST AUGUSTINE, FL 32084
St. Johns County (904) 829-2273

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 Soufyane Bourass's NPI number?

The NPI number for Soufyane Bourass is 1306590633. It was assigned to this individual provider in the NPPES registry on February 6, 2022.

Where is Soufyane Bourass located?

Soufyane Bourass practices at 1400 Old Dixie Hwy, Saint Augustine, FL 32084. The listed phone number is (904) 824-0724.

What is Soufyane Bourass's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Soufyane Bourass enrolled in Medicare?

Yes. Soufyane Bourass 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.

Which organizations bill Medicare for Soufyane Bourass's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Soufyane Bourass reassigns Medicare benefits to 2 organizations: Elite Psychiatry Specialist (Saint Johns, FL) and Grow Healthcare Group PA (Miami, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Soufyane Bourass's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Soufyane Bourass accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Soufyane Bourass 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 Soufyane Bourass was last updated on August 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.