LATIFA BOUKARROU MD
NPI 1366769317
Psychiatry & Neurology - Neurology in Port Saint Lucie, FL
About Latifa Boukarrou Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATIFA BOUKARROU MD (NPI 1366769317) is an individual neurology provider in Port Saint Lucie, Florida, licensed in California (A156992) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Neenah, and is a graduate of Other (2000).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Latifa Boukarrou Md 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.
Medicare Billing Reassignments
5Medicare enrollment records show Latifa Boukarrou reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saint Johns, FL 32259
- Reassigned Medicare billing, California and Washington enrollments
- Also billed through NPI 1669223830 (Washington)
- 117 clinicians in this Medicare group
Dallas, TX 75201
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Access Telecare California PC
- 194 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Menasha, WI 54952
- Reassigned Medicare billing, Wisconsin and California enrollments
- Also billed through NPI 1376656959 (California)
- 988 clinicians in this Medicare group
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 1,437 clinicians in this Medicare group
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 34952 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
PORT ST LUCIE, FL 34952
PORT SAINT LUCIE, FL 34952
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 Latifa Boukarrou's NPI number?
The NPI number for Latifa Boukarrou is 1366769317. It was assigned to this individual provider in the NPPES registry on April 30, 2010.
Where is Latifa Boukarrou located?
Latifa Boukarrou practices at 1651 SE Tiffany Ave Suite 101, Port Saint Lucie, FL 34952. The listed phone number is (772) 419-3810.
What is Latifa Boukarrou's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Latifa Boukarrou enrolled in Medicare?
Yes. Latifa Boukarrou 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 Latifa Boukarrou's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Latifa Boukarrou reassigns Medicare benefits to 5 organizations: Cep America - Neurology PC (Saint Johns, FL), Access Telecare California, P.C. (Dallas, TX), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Thedacare, Incorporated (Menasha, WI) and Emergency And Acute Care Medical Corporation (San Diego, CA). 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 Latifa Boukarrou's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Latifa Boukarrou was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Latifa Boukarrou, MD · NPI 1366769317
Neurology physician in Port Saint Lucie, Florida. Individual provider, active in the CMS NPPES registry since April 30, 2010.
## Identity
- **NPI:** 1366769317 (Entity type: Individual)
- **Enumerated:** April 30, 2010
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** A156992 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 1651 SE TIFFANY AVE, SUITE 101, Port Saint Lucie, FL 34952-7564
- **Phone:** (772) 419-3810 · **Fax:** (772) 419-3811
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Cep America - Neurology PC (NPI 1164109328, Saint Johns, FL); Access Telecare California, P.C. (NPI 1861959959, Dallas, TX); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); Thedacare, Incorporated (NPI 1306959515, Menasha, WI); Emergency And Acute Care Medical Corporation (NPI 1437103942, San Diego, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2000
## Record status
- **NPPES last updated:** May 14, 2025
- **Other identifiers:** Other TP618 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1366769317) · Data from the CMS NPPES public registry.