THERESE BOULAY
NPI 1366318149
Nurse Practitioner - Family in Hollywood, FL

Q: What is Therese Boulay's NPI number?

The NPI number for Therese Boulay is 1366318149. It was assigned to this individual provider in the NPPES registry on October 16, 2025.

Q: What is Therese Boulay's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Therese Boulay was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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 October 16, 2025PECOS Enrolled

11011 SHERIDAN ST STE 106, HOLLYWOOD, FL 33026(786) 303-9175 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Therese Boulay NPPES

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

THERESE BOULAY (NPI 1366318149) is an individual family provider in Hollywood, Florida, licensed in Florida (11042947) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366318149

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTHERESE BOULAY

Location Address11011 SHERIDAN ST STE 106Hollywood, FL 33026-1501

Mailing Address15121 Nw 7th CtPembroke Pines, FL 33028-1856 · (786) 303-9175

Phone(786) 303-9175

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1366318149 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 FL · 11042947

11011 SHERIDAN ST STE 106, Hollywood, FL 33026

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Therese Boulay is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325523202

PECOS Enrollment IDI20260328000456

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33026 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 5

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

JULIEANNE LAURENTE CRNA

Nurse Anesthetist, Certified Registered