NATHALIE BOULOS MD
NPI 1548714397
Psychiatry & Neurology - Psychiatry in Waco, TX

Q: What is Nathalie Boulos's NPI number?

The NPI number for Nathalie Boulos is 1548714397. It was assigned to this individual provider in the NPPES registry on August 10, 2016.

Q: What is Nathalie Boulos's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Nathalie Boulos was last updated on May 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 August 10, 2016PECOS EnrolledAccepts Medicare Assignment

74.33/100

CMS Quality Rating

301 LONDONDERRY DR, WACO, TX 76712(254) 751-4880(254) 751-4885 Get Directions Write a Review

NPPES record last updated: May 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2023, Aug 18, 2020, Aug 10, 2016 (3 updates tracked since 2016).

On this page

About Nathalie Boulos Md NPPES

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

NATHALIE BOULOS MD (NPI 1548714397) is an individual psychiatry provider in Waco, Texas, licensed in Texas (S9270) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1548714397

Entity TypeIndividualFemale

Primary Taxonomy2084P0800X

Provider Legal NameNATHALIE BOULOSCredential: MD

Location Address301 LONDONDERRY DRWaco, TX 76712-7915

Mailing Address301 Londonderry DrWaco, TX 76712-7915 · (254) 751-4880

Phone(254) 751-4880

Fax(254) 751-4885

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 10, 2016

Last NPPES UpdateMay 12, 20233 updates tracked since enumeration

NPPES CertifiedMay 12, 2023

✔ NPI 1548714397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Licenses✔ Licensed in TX · S9270✔ Licensed in MO · 2019024539

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

301 LONDONDERRY DR, Waco, TX 76712

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Accepted Insurance

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

Nathalie Boulos 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.

PECOS PAC ID4880981620

PECOS Enrollment IDI20210616003147

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

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.

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

36 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76712 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

$166.88 typical visit price

range $54.84 – $166.88

Typical copayment $41.72 (range $13.71 – $41.72)

Most-billed visit code 99205

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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.

74.33/100

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

Scored as part of a group practice

Quality

72.69

Promoting Interoperability

100

Improvement Activities

Cost

41.75

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment

0%258 patients

Advance Care Plan

20%51 patients1/55-star benchmark: 100%

Breast Cancer Screening

2%56 patients1/55-star benchmark: 93%

Cervical Cancer Screening

16%161 patients1/55-star benchmark: 98%

Chlamydia Screening for Women

0%40 patients

Colorectal Cancer Screening

2%131 patients1/55-star benchmark: 88%

Documentation of Current Medications in the Medical Record

74%1,145 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%42 patients1/55-star benchmark: 100%

HIV Screening

0%282 patients1/55-star benchmark: 60%

Non-Recommended Cervical Cancer Screening in Adolescent Females

Lower rates are better for this measure.

0%22 patients

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

5%471 patients1/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

0%151 patients1/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

21%886 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 73% · 342 patients

Patients screened: 76% · 342 patients

81%54 patients4/55-star benchmark: 100%

Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling

Patients combinedPopulations: 12% · 277 patients

Patients screened: 21% · 277 patients

8%26 patients

Screening for Osteoporosis for Women Aged 65-85 Years of Age

6%31 patients1/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 19% · 26 patients

Patients totalRate: 27% · 44 patients

27%44 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

PROVIDENCE HEALTH SERVICES OF WACO

Psychiatric Hospital